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.

Fairview Clinics (NPI 1245422021)

Field	Value
Entity Type	Organization
Organization	Fairview Clinics
Address	2535 University Ave Se
City	Minneapolis
State	MN
ZIP	55414
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	August 15, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

80 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…	21,890	$50	$1.1M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	19,770	$50	$988.4K
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…	7,570	$70	$537.6K
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…	5,520	$70	$364.3K
X5622	N/A	7,090	$50	$325.9K
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…	5,480	$60	$306.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,680	$70	$243.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	15,550	$10	$171K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9,410	$10	$131.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,110	$80	$83.3K

Showing 1–10 of 80

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

Fairview Clinics — 4 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	82	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…	245	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…	105	1,200	1,030	$70	$549.7K
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…	135	270	550	$70	$254.7K
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…	293	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	17	310	810	$30	$166.5K
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	240	610	$70	$165.5K
X5622	N/A	30	300	470	$60	$159.8K
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…	24	200	720	$60	$155.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	250	250	$70	$98.6K

Showing 1–10 of 80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	Ambulance	$0	$112.8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
University Of Minnesota Health Clinics And Surgery Center, Inc.	MN	Clinic/Center	$0	$16.3M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fraser Child And Family Center	MN	Adolescent and Children Mental Health Clinic/Center	$0	$149.8M
Premier Biotech Labs, LLC	MN	Clinical Medical Laboratory	$416.7K	$41.4M
Emergency Care Consultants, PA	MN	Emergency Medicine Physician	$0	$40M
Alliance Clinic, LLC	MN	Health Maintenance Organization	$392.3K	$19M
Best Care Home Health, Inc.	MN	Home Health Agency	$0	$13.9M
Global Language Connections	MN	Interpreter	$0	$13.8M
Friendly Home Health Care	MN	Home Health Agency	$0	$9.5M
Metro Behavioral Health, LLC	MN	Community/Behavioral Health Agency	$0	$8.8M
Reentry House, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
University Of Minnesota Physicians	MN	Multi-Specialty Clinic/Center	$0	$4.7M

Fairview Clinics — Billing Profile & Reimbursement Data

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Fairview Clinics — 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