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.

Dungarvin Minnesota LLC (NPI 1235122003)

Field	Value
Entity Type	Organization
Organization	Dungarvin Minnesota LLC
Address	1440 Northland Dr Ste 100
City	Mendota Heights
State	MN
ZIP	55120
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 26, 2005

Payer Source	Total Paid
Medicaid	$66.3M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $66.3M, so all observable billing and reimbursement activity in the dataset is Medicaid‑based. Analysts should therefore prioritize state Medicaid fee schedules, utilization controls, and program policy when assessing financial exposure and contracting leverage.

Medicaid revenue is highly concentrated in three per‑diem service codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with S5140 alone generating $55.1M (83.0% of Medicaid revenue). This concentration means changes to a single program rate or utilization pattern—especially for S5140—would materially affect overall revenue.

The code mix indicates a service model focused on foster/adult residential and in‑home support services rather than procedure or clinic‑based care: S5140 is S5140 – Foster care, adult; per diem, T1020 is T1020 – Personal care services, per diem, and S9125 is S9125 – Respite care, in the home, per diem. Together these codes imply operations centered on per‑diem residential foster care and in‑home personal support/respite rather than episodic medical procedures.

Volume and unit economics are dominated by S5140: 127.7K claims at $431 avg paid/claim yielded $55.1M in revenue, while T1020 produced 18.4K claims at $353 avg paid/claim ($6.5M) and S9125 produced 6K claims at $799 avg paid/claim ($4.8M). The large claim count for S5140 signals a high‑throughput residential or placement operation where margins will be sensitive to staffing and per‑diem cost drivers.

State competitive standing is mixed across service lines. For S5140 the provider ranks #20 of 59 in the state (67th percentile) and is described as having typical, unremarkable volume for that code, indicating a modest but non‑leading presence; for T1020 it ranks #4 of 15 (79th percentile) which denotes a relatively stronger position among in‑state personal care suppliers; for S9125 it ranks #1 of 3 (100th percentile) but the peer set is small, so top rank reflects limited competition more than broad market dominance.

Although S9125 is ranked #1 of 3, the dataset labels its volume as typical and unremarkable, and all three top codes carry the same plain‑English characterization of typical, unremarkable volume. In other words, none of the top revenue drivers are flagged as statistical outliers in the supplied labels, so activity appears consistent with state patterns rather than extreme deviation.

Operationally, the dominance of per‑diem codes (S5140, T1020, S9125) suggests revenue and cost structures aligned to daily rates and occupancy/utilization management rather than procedure counts. This implies that payer negotiations, capacity management, and staffing ratios will be principal levers for margin management and that shifts in per‑diem rates or eligibility policy could have outsized effects.

The provider's NPI was enumerated 2005-08-26 (~21 years ago), indicating a longstanding presence in the market; this tenure supports institutional familiarity with state Medicaid processes and may be relevant when assessing contracting history, network relationships, and service continuity for long‑term placements.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	127,750	$430	$55.1M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	18,390	$350	$6.5M
S9125	Respite care, in the home, per diem	5,970	$800	$4.8M

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

Dungarvin Minnesota LLC — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	20	60	33,770	$300	$37.6M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4	20	11,690	$380	$6.8M
S9125	Respite care, in the home, per diem	1	10	2,380	$1,080	$3.1M

Nearby Providers

Other providers in the same ZIP code as Dungarvin Minnesota LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beacon Specialized Living Minnesota, Inc.	MN	Assisted Living Facility	$0	$76.1M
Ellie Family Services, Pllp	MN	Community/Behavioral Health Agency	$0	$34.4M
Riyo International Corporation	MN	Adolescent and Children Mental Health Clinic/Center	$0	$7.7M
Residential Transitions Incorporated	MN	Community/Behavioral Health Agency	$0	$7.3M
Coram Alternate Site Services Inc	MN	Home Infusion Therapy Pharmacy	$66.5K	$4.5M
Katherine Piehl	MN	Nurse Practitioner	$668.3K	$0
Walgreen Co	MN	Pharmacy	$130.2K	$0

Dungarvin Minnesota LLC — Billing Profile & Reimbursement Data

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Dungarvin Minnesota LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References