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.

Mayo Clinic Health System-southeast Minnesota Region (NPI 1275060030)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-southeast Minnesota Region
Address	2200 Nw 26th St
City	Owatonna
State	MN
ZIP	55060
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 11, 2017

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

241 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…	62,740	$40	$2.6M
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…	42,950	$60	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17,240	$60	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8,160	$90	$734.1K
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…	4,160	$80	$337.3K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	11,260	$30	$326.7K
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…	4,880	$60	$312.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20,580	$20	$308.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,100	$40	$283.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	3,300	$70	$224.2K

Showing 1–10 of 241

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

Mayo Clinic Health System-southeast Minnesota Region — 7 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

241 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	35	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	33	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	66	220	1,730	$120	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	37	50	310	$130	$678K
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…	33	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…	25	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…	13	20	60	$960	$469.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	37	100	250	$100	$399.5K
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…	41	170	620	$40	$333K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	35	40	510	$60	$295.8K

Showing 1–10 of 241

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayo Clinic Health System-southeast Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Multi-Specialty Clinic/Center	$0	$74.3M
Mayo Clinic Health System-southeast Minnesota Region	MN	General Acute Care Hospital	$0	$37.5M
Mayo Clinic Health System-southwest Minnesota Region	MN	General Acute Care Hospital	$0	$28.5M
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-southwest Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$24.3M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$21.8M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	General Acute Care Hospital	$0	$16.8M
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	General Acute Care Hospital	$0	$13.4M
Mayo Clinic Health System-southeast Minnesota Region	MN	Substance Abuse Rehabilitation Facility	$0	$12.6M
Mayo Clinic Hospital-rochester	MN	General Acute Care Hospital	$0	$11.5M

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Health System-southeast Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Woodvale, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$121.2M
South Central Human Relations Center	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$37.5M
Fernbrook Family Center, Inc	MN	Social Worker	$0	$33M
Birchwood Cottages	MN	Assisted Living Facility	$0	$6.9M
Allina Health System	MN	General Acute Care Hospital	$0	$6.5M
Owatonna Senior Living Community LLC	MN	Assisted Living Facility	$0	$4.7M
Independent School District 761	MN	Local Education Agency (LEA)	$0	$4.5M
Astrup Drug Inc	MN	Long Term Care Pharmacy	$275.8K	$142.6K
Grant Heslep	MN	Ophthalmology Physician	$235.5K	$0
Allen Huang	MN	Ophthalmology Physician	$228.2K	$0

Mayo Clinic Health System-southeast Minnesota Region — Billing Profile & Reimbursement Data

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Mayo Clinic Health System-southeast Minnesota Region — 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