Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

St Joseph's Medical Center (NPI 1174809792)

St Joseph's Medical Center is a general practice physician provider located in Baxter, Minnesota. This profile covers 0 Medicare and 67 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St Joseph's Medical Center
Address	13060 Isle Drive
City	Baxter
State	MN
ZIP	56425
Taxonomy	General Practice Physician
NPI Enumerated	October 27, 2011

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	55,760	$50	$3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	62,370	$40	$2.2M
X5622	N/A	4,660	$80	$349.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	9,590	$40	$345.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,810	$50	$225.9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	10,060	$20	$201.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,470	$30	$185.8K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	3,260	$50	$156.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,960	$50	$139K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	5,620	$20	$118K

Showing 1–10 of 67

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

St Joseph's Medical Center — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	20	1,180	1,150	$80	$605.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	27	1,200	1,030	$70	$549.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	252	270	550	$70	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	90	120	650	$50	$225.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	330	340	300	$100	$209.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	184	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	41	310	810	$30	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	28	240	610	$70	$165.5K
X5622	N/A	42	300	470	$60	$159.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25	200	720	$60	$155.4K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Medical Center	MN	General Acute Care Hospital	$0	$41.5M
Duncan Dickson	MN	Radiation Oncology Physician	$391.3K	$0
Sumi Patel	MN	Rheumatology Physician	$364.5K	$0
Mevan Wijetunga	ND	Clinical Cardiac Electrophysiology Physician	$311K	$0
Deepak Reddy	MI	Emergency Medicine Physician	$75.8K	$169.6K
Kim Ogle	WI	Internal Medicine Physician	$211.8K	$0
Sharath Subramanian	MN	Cardiovascular Disease Physician	$209.9K	$0
Jodi Michaels	MN	Urology Physician	$203.1K	$0
Kari Messner	MN	Diagnostic Radiology Physician	$174.9K	$0
Sergey Shkurovich	MN	Diagnostic Radiology Physician	$162.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Getty Inc.	MN	Home Health Agency	$0	$6.4M
David Williams	MN	Retina Specialist (Ophthalmology) Physician	$5.5M	$0
Brainerd Lakes Surgery Center L L C	MN	Ambulatory Surgical Clinic/Center	$547.8K	$7.1K
Kassandra Nelson	MN	Nurse Practitioner	$114.1K	$0
Nicole Manecke	MN	Medical Physician Assistant	$108.7K	$0
Rebekah White	MN	Family Nurse Practitioner	$107.2K	$0
Travis Beniak	MN	Physical Therapist	$93.4K	$0
Costco Wholesale Corporation	MN	Community/Retail Pharmacy	$92.2K	$0
Timothy Dirks	MN	Cardiovascular Disease Physician	$89K	$0
Paul Lundstrom	MN	Dermatology Physician	$88.4K	$0

St Joseph's Medical Center — Billing Profile & Reimbursement Data

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St Joseph's Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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