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.

Rural Health Care, Inc (NPI 1215317375)

Rural Health Care, Inc is a federally qualified health center (fqhc) provider located in Worthington, Minnesota. This profile covers 0 Medicare and 103 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	Rural Health Care, Inc
Address	1216 Ryans Rd Ste 3
City	Worthington
State	MN
ZIP	56187
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 4, 2015

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

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

103 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	48,240	$180	$8.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12,720	$190	$2.4M
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…	11,220	$190	$2.1M
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…	6,410	$190	$1.2M
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…	5,750	$190	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,640	$170	$270.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	730	$170	$126.8K
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…	560	$210	$119.6K
T1015	Clinic visit/encounter, all-inclusive	190	$200	$36.4K
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…	110	$140	$15.2K

Showing 1–10 of 103

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

Rural Health Care, Inc — 2 of 24 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

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	91	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…	185	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…	46	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…	964	1,140	1,010	$100	$543K
T1015	Clinic visit/encounter, all-inclusive	24	40	270	$290	$387.5K
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…	311	620	560	$80	$361.9K
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…	250	270	550	$70	$254.7K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	18	20	410	$80	$212.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	139	150	290	$60	$209.3K
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…	376	420	230	$90	$186.2K

Showing 1–10 of 103

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Rural Health Care, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$10.1M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$4.4M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.1M
City Of Brookings	SD	Multi-Specialty Clinic/Center	$0	$1.2M
Rural Health Care, Inc.	SD	Federally Qualified Health Center (FQHC)	$0	$233.9K
Tarek Mahrous	SD	Interventional Cardiology Physician	$210.6K	$0
Douglas Holum	SD	Family Medicine Physician	$200.8K	$0
Michael Gerlach	SD	Family Medicine Physician	$187.8K	$0
Matthew Casey	MN	Diagnostic Radiology Physician	$187.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Health Network	MN	Rural Acute Care Hospital	$0	$7.6M
Astrup Drug Inc	MN	Community/Retail Pharmacy	$113.5K	$111.5K
Sanket Kunde	MN	Emergency Medicine Physician	$177.9K	$0
Evelyn Ivy Mwangi	MN	Internal Medicine Physician	$145.6K	$0
Sarkis Bolisajian	MN	Internal Medicine Physician	$94.8K	$0
Jenna Gehl	MN	Hospitalist Physician	$75.4K	$0
Howard Leibowitz	MN	Internal Medicine Physician	$63.1K	$0
Lezlie Jones	MN	Optometrist	$54.7K	$0
Andrea Roberts	MN	Certified Registered Nurse Anesthetist	$21.3K	$0
Astrup Drug Inc	MN	Long Term Care Pharmacy	$21.3K	$0

Rural Health Care, Inc — Billing Profile & Reimbursement Data

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Rural Health Care, 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

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