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 Health System-nr LLC (NPI 1275872772)

Field	Value
Entity Type	Organization
Organization	Centracare Health System-nr LLC
Address	1013 Hart Blvd
City	Monticello
State	MN
ZIP	55362
Taxonomy	Critical Access Hospital
NPI Enumerated	February 5, 2013

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	14,460	$190	$2.7M
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.	14,080	$150	$2.1M
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.	6,610	$80	$502.1K
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…	4,640	$60	$255K
A0425	Ground mileage, per statute mile	1,080	$200	$217.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	600	$310	$183.9K
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.	1,130	$120	$131.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,880	$40	$103.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	6,870	$10	$96.2K
0241U	N/A	700	$120	$82K

Showing 1–10 of 51

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 Health System-nr LLC — 1 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	44	60	780	$470	$5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	64	80	6,550	$80	$4.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	35	80	410	$430	$2.3M
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.	67	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.	56	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.	41	220	1,730	$120	$1.3M
A0425	Ground mileage, per statute mile	48	110	870	$80	$971K
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…	880	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…	875	1,200	1,030	$70	$549.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4	150	500	$110	$293.1K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centracare Health System-nr LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sue Mandell	WA	Radiation Oncology Physician	$302.2K	$0
Abigail Taylor	MN	Internal Medicine Physician	$249.6K	$0
Sharath Subramanian	MN	Cardiovascular Disease Physician	$209.9K	$0
Angela Oster	MN	Ophthalmology Physician	$195.7K	$0
Udit Agarwal	ND	Cardiovascular Disease Physician	$174.4K	$0
Ramesh Kumar Tentu	MN	Hospitalist Physician	$171.8K	$0
Bradley Stish	MN	Radiation Oncology Physician	$171.7K	$0
Paul Sander	MN	Cardiovascular Disease Physician	$158.8K	$0
Christopher Miller	MN	Radiation Oncology Physician	$136.7K	$0
Kadir Mullings	MN	Radiation Oncology Physician	$133.6K	$0

Nearby Providers

Other providers in the same ZIP code as Centracare Health System-nr LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$9.5M
Shambeel Rizvi	MN	Rheumatology Physician	$69.6K	$0
Megan Otis	MN	Family Medicine Physician	$17.5K	$0
Jeffrey Kvant	MN	Physician Assistant	$14.3K	$0
Mark Kassebaum	MN	Anesthesiology Physician	$8.3K	$0

Centracare Health System-nr LLC — Billing Profile & Reimbursement Data

Sign up for Centracare Health System-nr LLC — Billing Profile & Reimbursement Data policy alerts

Centracare Health System-nr LLC — Billing Profile & Reimbursement Data

Sign up for Centracare Health System-nr LLC — 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