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.

Lakeplace Retreat Center Inc (NPI 1215005400)

Field	Value
Entity Type	Organization
Organization	Lakeplace Retreat Center Inc
Address	25704 County Road 338
City	Bovey
State	MN
ZIP	55709
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	70,140	$170	$12.1M
H0001	Alcohol and/or drug assessment	300	$110	$31.8K
T1016	Case management, each 15 minutes	1,100	$20	$25.3K
H0038	Self‑help/peer services, per 15 minutes	270	$50	$12.1K

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

Lakeplace Retreat Center Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	21	280	5,980	$120	$3M
T1016	Case management, each 15 minutes	141	240	1,870	$50	$1.9M
H0038	Self‑help/peer services, per 15 minutes	94	130	1,640	$80	$599.5K
H0001	Alcohol and/or drug assessment	87	190	220	$140	$158.2K

Lakeplace Retreat Center Inc — Billing Profile & Reimbursement Data

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Lakeplace Retreat 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

Frequently Asked Questions

References