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.

Stellis Health, PA (NPI 1184664674)

Stellis Health, PA is a multi-specialty clinic/center provider located in Buffalo, Minnesota. This profile covers 0 Medicare and 116 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	Stellis Health, PA
Address	1700 Highway 25 N
City	Buffalo
State	MN
ZIP	55313
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

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

116 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…	47,780	$60	$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…	64,940	$40	$2.9M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	13,160	$20	$315.8K
X5622	N/A	4,980	$50	$228.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	13,230	$10	$172K
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…	2,680	$60	$155.2K
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…	2,850	$50	$154K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	5,450	$30	$152.7K
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…	2,580	$60	$152.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,750	$60	$99.7K

Showing 1–10 of 116

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

Stellis Health, PA — 3 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	208	210	560	$60	$822.1K
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…	26	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…	22	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…	811	1,140	1,010	$100	$543K
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…	171	270	550	$70	$254.7K
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…	117	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)	25	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…	53	240	610	$70	$165.5K
X5622	N/A	41	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…	48	200	720	$60	$155.4K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	Ambulance	$0	$112.8M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Maple Grove Hospital Corporation	MN	General Acute Care Hospital	$0	$7.6M
North Memorial Health Care	MN	Primary Care Clinic/Center	$0	$7.4M
Summit Orthopedics, Ltd	MN	Orthopaedic Surgery Physician	$0	$6.7M
North Memorial Health Care	MN	Hospitalist Physician	$0	$5.6M
North Memorial Health Care	MN	Urgent Care Clinic/Center	$0	$4.5M
Osama Ibrahim	TN	Interventional Cardiology Physician	$278.7K	$0
Porur Somasundaram	FL	Clinical Cardiac Electrophysiology Physician	$225.7K	$0
Stefano Sinicropi	MN	Orthopaedic Surgery of the Spine Physician	$194.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wright County	MN	Case Management Agency	$0	$27.3M
Gentle Touch Health Initiatives, LLC	MN	Home Health Agency	$0	$15.9M
Adara Home Health, Inc.	MN	Home Health Agency	$0	$5.5M
Cynthia Larson	MN	Internal Medicine Physician	$126.7K	$0
Dana Harms	MN	Orthopaedic Surgery Physician	$118.4K	$0
Nicholas Abram	MN	Emergency Medicine Physician	$79.4K	$1.3K
Teresa Wrobbel	MN	Family Medicine Physician	$57.7K	$0
Jessica Anderson	MN	Orthopaedic Surgery Physician	$49.2K	$0
Kari Fabian	MN	Internal Medicine Physician	$45.4K	$0
Erik Hanson	MN	Physician Assistant	$37.9K	$0

Stellis Health, PA — Billing Profile & Reimbursement Data

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Stellis Health, PA — 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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