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.

Gillette Children's Specialty Healthcare (NPI 1225119175)

Field	Value
Entity Type	Organization
Organization	Gillette Children's Specialty Healthcare
Address	200 East University Ave
City	St. Paul
State	MN
ZIP	55101
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 18, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,840	$70	$982.9K
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…	20,360	$50	$936.6K
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…	25,460	$30	$789.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,420	$60	$283.1K
99203	The provider sees a new 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 provider…	5,460	$40	$240.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,420	$50	$203.3K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	4,870	$40	$189.9K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	3,730	$50	$171.5K
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,…	10,260	$20	$164.2K
99205	The provider sees a new 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 provider…	1,370	$100	$142.2K

Showing 1–10 of 62

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

Gillette Children's Specialty Healthcare — 6 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	70	80	1,220	$200	$930.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	31	120	400	$60	$685.8K
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…	107	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…	84	1,200	1,030	$70	$549.7K
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…	358	620	560	$80	$361.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	30	80	1,070	$90	$341.2K
95951	N/A	3	10	360	$210	$333.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	29	170	620	$40	$333K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	6	10	1,300	$150	$320.9K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	27	40	450	$240	$253K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gillette Children's Specialty Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Koerner	MN	Physical Medicine & Rehabilitation Physician	$93.7K	$0
Katherine Anderson	MN	Urology Physician	$88.2K	$0
Adam Foss	MN	Internal Medicine Physician	$72.8K	$0
Jamie Flohr	MN	Otolaryngology Physician	$57.2K	$0
Phillip Radke	MN	Ophthalmic Plastic and Reconstructive Surgery Physician	$50.7K	$0
Eric Becken	MN	Otolaryngology Physician	$38.4K	$0
Mindy Ostrowski	MN	Primary Care Nurse Practitioner	$26.7K	$0
Arveity Setty	ND	Pediatrics Physician	$26K	$0
Sean Elliott	MN	Urology Physician	$23.7K	$0
Jill Gettings	MN	Physical Medicine & Rehabilitation Physician	$19.9K	$0

Nearby Providers

Other providers in the same ZIP code as Gillette Children's Specialty Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramsey County Community Human Services	MN	Public Health or Welfare Agency	$0	$97.5M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services-act Blue	MN	Case Management Agency	$0	$9.9M
Specialized Treatment Services, Inc.	MN	Methadone Clinic	$444.6K	$6.4M
Prasongchai Sattayaprasert	MN	Cardiovascular Disease Physician	$238.9K	$1.1K
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0
Ryan Koene	MN	Clinical Cardiac Electrophysiology Physician	$120K	$0

Gillette Children's Specialty Healthcare — Billing Profile & Reimbursement Data

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Gillette Children's Specialty Healthcare — 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