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.

Hennepin County (NPI 1215951751)

Key Findings

Field	Value
Entity Type	Organization
Organization	Hennepin County
Address	2220 Plymouth Ave N
City	Minneapolis
State	MN
ZIP	55411
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$70.6M
Medicare	$0

This provider is effectively single‑payer in scope for the dataset: there is no Medicare billing on file while Medicaid revenue totals $70.6M, so Medicaid drives the entirety of the measured fee‑for‑service activity and financial footprint reported here. Analysts should treat Medicaid reimbursement dynamics as the primary revenue levers for this entity.

Revenue is highly concentrated in a small set of outpatient E/M and behavioral‑health codes: the top three Medicaid codes — 99213 ($15.4M, 22.0%), 99214 ($13.9M, 19.9%), and 90832 ($7.3M, 10.4%) — account for 52.3% of this provider's total Medicaid revenue, indicating most dollars flow through routine established‑patient visits and brief psychotherapy encounters. That concentration suggests changes to reimbursement rates or utilization for these specific codes would materially move overall revenue.

The code mix aligns with a Federally Qualified Health Center operating a combined primary‑care and behavioral‑health model: high volumes of 99213 and 99214 show a heavy primary care E/M footprint, while large volumes of psychotherapy codes (90832, 90837, 90834, 90853) demonstrate integrated mental‑health services and group therapy capacity. The presence of G0467 (FQHC visit) further reinforces that encounters are delivered in an FQHC setting with bundled visit workflows.

On competitive standing, this provider is a regional leader on several high‑volume codes: 99214 ranks #22 of 1177 providers in‑state (98th percentile) and 99213 ranks #33 of 1201 (97th percentile), signaling materially above‑typical state volume for routine E/M. Psychotherapy code 90832 is an extreme outlier (rank #5 of 337, 99th percentile), indicating unusually high short‑session psychotherapy volume compared with peers and positioning the provider as a dominant statewide supplier for that service.

Behavioral‑health capacity is deep and varied: the provider reports substantial revenue for individual psychotherapy across durations (90832 $7.3M, 90834 $5.6M, 90837 $6.5M) and for group psychotherapy (90853 $4.1M), with 90832 labeled an "extreme outlier" and 90853 described as "notably above typical state volume." This mix points to an operational emphasis on both frequent brief psychotherapeutic contacts and capacity for longer and group sessions.

The provider reports non‑standard or state‑specific billing activity that contributes materially to revenue: X5622 appears with 21K claims and $3.9M revenue (5.6% of Medicaid revenue) and ranks #6 of 295 providers in‑state (98th percentile). That combination of high volume and an unlabeled code suggests a significant ancillary or programmatic service line worth reviewing in contract and utilization analyses.

Service breadth extends beyond core E/M and psychotherapy: preventive medicine and well‑visit codes (99392, 99391, 99393, 99394, 99396) and ophthalmology codes (92014, 92004) appear in the top codes list, reflecting delivery of pediatric/adolescent/adult preventive care and on‑site eye care. These items indicate the FQHC offers a broad primary‑care spectrum that supports diverse Medicaid patient needs rather than a narrowly specialized clinic.

The provider has an established enrollment history (NPI enumerated 2006-07-27, ~20 years ago), consistent with a stable operational footprint; combined with its concentrated Medicaid revenue and above‑typical state rankings on several high‑volume codes, this suggests bargaining and program design considerations should treat the entity as a long‑standing, high‑volume Medicaid partner within the FQHC network.

Medicaid: Complete Services Breakdown

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

135 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…	59,740	$260	$15.4M
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…	53,040	$260	$13.9M
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…	23,600	$310	$7.3M
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…	22,790	$290	$6.5M
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…	19,280	$290	$5.6M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	13,820	$300	$4.1M
X5622	N/A	21,050	$190	$3.9M
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,…	10,120	$320	$3.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,040	$240	$2.2M
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…	7,940	$140	$1.1M

Showing 1–10 of 135

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

Hennepin County — 9 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

135 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	6	10	370	$70	$777K
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…	22	1,180	1,150	$80	$605.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	41	100	510	$40	$560.8K
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…	33	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…	52	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…	34	620	560	$80	$361.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	17	80	1,070	$90	$341.2K
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…	193	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…	3	20	410	$80	$212.2K
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…	5	340	300	$100	$209.2K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Special School District #1	MN	Local Education Agency (LEA)	$0	$32.3M
Touchstone Mental Health	MN	Assisted Living Facility (Mental Illness)	$0	$28.4M
Hennepin County	MN	Dental Clinic/Center	$0	$16.8M
Turning Point Incorporated	MN	Substance Abuse Rehabilitation Facility	$0	$6.4M
University Of Minnesota Physicians	MN	Primary Care Clinic/Center	$0	$6M
Michael Wootten	MN	Family Medicine Physician	$19.7K	$0
Tanner Nissly	MN	Family Medicine Physician	$16.7K	$0
Andrew Slattengren	MN	Family Medicine Physician	$13K	$0
Robert Levy	MN	Family Medicine Physician	$9.6K	$0

Hennepin County — Billing Profile & Reimbursement Data

Sign up for Hennepin County — Billing Profile & Reimbursement Data policy alerts

Hennepin County — Billing Profile & Reimbursement Data

Sign up for Hennepin County — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hennepin County	MN	Case Manager/Care Coordinator	$0	$34.9M
Hennepin County	MN	Psychiatry Physician	$0	$9.3M
Pang Vang	MN	Family Nurse Practitioner	$5.6K	$0
Robin Councilman	MN	Family Medicine Physician	$3.7K	$0
Paul Erickson	MN	Specialist	$1.9K	$0