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.

Hiawatha Valley Mental Health Center Inc. (NPI 1184606337)

Field	Value
Entity Type	Organization
Organization	Hiawatha Valley Mental Health Center Inc.
Address	420 E Sarnia St Ste 2100
City	Winona
State	MN
ZIP	55987
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 15, 2005

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	139,000	$80	$11.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	44,700	$120	$5.3M
H0046	Mental health services, not otherwise specified	93,810	$20	$2.1M
T2023	Targeted case management; per month	4,690	$370	$1.7M
H0032	Mental health service plan development by non-physician	14,830	$80	$1.2M
H0031	Mental health assessment, by non-physician	14,800	$80	$1.1M
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…	14,460	$70	$1.1M
H2014	Skills training and development, per 15 minutes	12,830	$50	$628.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,290	$120	$527.4K
90834	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…	5,280	$80	$433.1K

Showing 1–10 of 32

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

Hiawatha Valley Mental Health Center Inc. — 6 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	72	190	2,820	$480	$4.2M
H2014	Skills training and development, per 15 minutes	66	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	5	230	6,320	$120	$2M
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…	325	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	66	130	1,640	$80	$599.5K
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…	961	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	18	1,140	1,010	$100	$543K
90834	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…	110	620	560	$80	$361.9K
H2011	Crisis intervention service, per 15 minutes	28	30	1,240	$160	$295.6K
H0032	Mental health service plan development by non-physician	11	230	490	$80	$255.2K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Hiawatha Valley Mental Health Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winona Health Services	MN	General Acute Care Hospital	$0	$13.4M
Options Plus Home Care LLC	MN	Home Health Agency	$0	$4.7M
Winona Senior Living, LLC	MN	Assisted Living Facility	$0	$4.3M
Winona Area Ambulance Service, Inc.	MN	Land Ambulance	$444.9K	$1.4M
Matthew Thompson	MN	Family Medicine Physician	$68.8K	$0
Derrick Sanderson	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$64.4K	$0
Mark Martin	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$34.4K	$20.2K
Matthew Hayes	MN	Diagnostic Radiology Physician	$48.3K	$0
Mario Einsman	MN	Clinical Social Worker	$41.9K	$1.4K
Everett Beguin	MN	Family Medicine Physician	$37.4K	$0

Hiawatha Valley Mental Health Center Inc. — Billing Profile & Reimbursement Data

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Hiawatha Valley Mental Health Center Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References