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.

Fairview Clinics (NPI 1215129853)

Field	Value
Entity Type	Organization
Organization	Fairview Clinics
Address	1700 University Ave W Fl 1
City	Saint Paul
State	MN
ZIP	55104
Taxonomy	Health Service Clinic/Center
NPI Enumerated	August 17, 2007

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	58,050	$50	$2.8M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	8,630	$60	$509.2K
99336	N/A	4,860	$80	$369.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	8,540	$40	$307.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,950	$80	$148.4K
99318	Deleted code, effective Jan. 1, 2023	1,860	$50	$90.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	1,540	$50	$72.4K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	810	$80	$64.6K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	140	$110	$15.6K
99337	N/A	60	$70	$4.1K

Showing 1–10 of 13

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

Fairview Clinics — 3 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99318	Deleted code, effective Jan. 1, 2023	2	10	1,860	$300	$821K
99337	N/A	11	10	120	$70	$544.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	8	40	510	$60	$295.8K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	7	40	250	$80	$235.8K
99336	N/A	4	30	210	$50	$207.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2	100	590	$40	$202.6K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	7	20	110	$100	$96.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	14	20	270	$80	$84.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3	110	270	$40	$59.6K
99335	N/A	35	40	100	$40	$44K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fairview Clinics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	Ambulance	$0	$112.8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
University Of Minnesota Health Clinics And Surgery Center, Inc.	MN	Clinic/Center	$0	$16.3M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Nearby Providers

Other providers in the same ZIP code as Fairview Clinics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Home Health Care Inc.	MN	Home Health Agency	$0	$66.7M
Amherst H. Wilder Foundation	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
Allegiance Ability Assistance LLC	MN	Home Health Agency	$0	$25.9M
Pathways Counseling Center, Inc.	MN	Rehabilitation Psychologist	$0	$23.3M
Catholic Charities Of The Archdiocese Of St Paul & Mpls	MN	Case Management Agency	$0	$17.5M
Twin Town Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$16.7M
Caremate Home Health Care, Inc.	MN	Home Health Agency	$0	$14.2M
Ea Bilingual Services, Inc.	MN	Interpreter	$0	$12.6M
Transitions Homes Corporation	MN	Substance Abuse Rehabilitation Facility	$0	$11.8M
Asian-american Home Health Care Services, Incorporated	MN	Home Health Agency	$0	$11.4M

Fairview Clinics — Billing Profile & Reimbursement Data

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Fairview Clinics — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References