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.

Centracare Clinic (NPI 1225030844)

Field	Value
Entity Type	Organization
Organization	Centracare Clinic
Address	1900 Centracare Cir
City	Saint Cloud
State	MN
ZIP	56303
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	August 12, 2005

Payer Source	Total Paid
Medicaid	$20.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

144 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…	70,460	$50	$3.7M
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…	39,590	$70	$2.8M
X5622	N/A	20,780	$90	$1.8M
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…	22,470	$70	$1.5M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	64,850	$20	$1.4M
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…	25,690	$50	$1.3M
T1013	Sign language or oral interpretive services, per 15 minutes	29,380	$40	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	14,040	$60	$870.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	23,610	$30	$755.4K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	730	$890	$648.6K

Showing 1–10 of 144

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

Centracare Clinic — 18 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

144 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	5	10	260	$900	$836.6K
T1013	Sign language or oral interpretive services, per 15 minutes	15	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…	44	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…	17	1,200	1,030	$70	$549.7K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	4	20	60	$960	$469.8K
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…	272	620	560	$80	$361.9K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	3	10	40	$1,000	$343.7K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	4	10	460	$820	$324.2K
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…	265	270	550	$70	$254.7K
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…	99	340	300	$100	$209.2K

Showing 1–10 of 144

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$19.3M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$6.9M
Centracare Health System - Long Prairie	MN	Rural Health Clinic/Center	$0	$6.9M
Centracare Clinic	MN	Primary Care Clinic/Center	$0	$6.1M
Joseph Wang	NY	Radiation Oncology Physician	$607.9K	$0
David Kruse	CA	Sports Medicine (Family Medicine) Physician	$442.6K	$0
Leah Thronaum	MN	Neurology Physician	$369.7K	$0
Rachel Schuneman	MN	Dermatology Physician	$256.4K	$0
Abigail Taylor	MN	Internal Medicine Physician	$249.6K	$0
Kathleen Rieke	MN	Neurology Physician	$229.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Cloud Hospital	MN	General Acute Care Hospital	$0	$53.4M
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$36.2M
Eye Kraft Optical, Inc	MN	Eyewear Supplier	$0	$17.7M
Northway Academy, Inc.	MN	Developmental Disabilities Clinic/Center	$0	$14.4M
Koala Dental Care, LLC	MN	Pediatric Dentistry	$0	$11.3M
Centracare Health Systems	MN	Clinical Medical Laboratory	$1.2M	$9.4M
Centracare Health System	MN	Clinical Medical Laboratory	$345.1K	$9.1M
St. Cloud Area School District 742	MN	Local Education Agency (LEA)	$0	$9.3M
Kozy Transport Services, Inc	MN	Non-emergency Medical Transport (VAN)	$0	$6.3M
St Cloud Outpatient Surgery Ltd	MN	Ambulatory Surgical Clinic/Center	$2.1M	$4M

Centracare Clinic — Billing Profile & Reimbursement Data

Sign up for Centracare Clinic — Billing Profile & Reimbursement Data policy alerts

Centracare Clinic — Billing Profile & Reimbursement Data

Sign up for Centracare Clinic — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References