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.

Winona Health Services (NPI 1295789352)

Winona Health Services is a general acute care hospital provider located in Winona, Minnesota. This profile covers 0 Medicare and 191 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Winona Health Services
Address	855 Mankato Ave
City	Winona
State	MN
ZIP	55987
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

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

191 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…	70,730	$40	$2.8M
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.	16,530	$110	$1.8M
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…	27,290	$60	$1.5M
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.	16,050	$80	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19,280	$60	$1.1M
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…	12,390	$70	$879.5K
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.	3,300	$180	$577.1K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	11,120	$30	$278.1K
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…	3,490	$70	$226.9K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	10,680	$20	$181.5K

Showing 1–10 of 191

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

Winona Health Services — 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

191 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27	80	6,550	$80	$4.4M
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.	44	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.	35	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.	35	220	1,730	$120	$1.3M
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…	83	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…	75	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…	16	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	932	1,140	1,010	$100	$543K
A4217	Sterile water/saline, 500 ml	10	10	840	$120	$431.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	251	260	890	$60	$405.3K

Showing 1–10 of 191

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Robert Reynolds	ND	Radiation Oncology Physician	$1.4M	$0
Rohit Kapoor	TX	Hematology & Oncology Physician	$1.2M	$0
Joseph Rosen	AZ	Medical Oncology Physician	$978.5K	$0
Cole Kreofsky	ND	Radiation Oncology Physician	$959K	$0
St. Alexius Medical Center	ND	Durable Medical Equipment & Medical Supplies	$0	$824.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hiawatha Valley Mental Health Center Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.8M
Options Plus Home Care LLC	MN	Home Health Agency	$0	$4.7M
Winona Senior Living, LLC	MN	Assisted Living Facility	$0	$4.3M
Winona Area Ambulance Service, Inc.	MN	Land Ambulance	$444.9K	$1.4M
Matthew Thompson	MN	Family Medicine Physician	$68.8K	$0
Derrick Sanderson	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$64.4K	$0
Mark Martin	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$34.4K	$20.2K
Matthew Hayes	MN	Diagnostic Radiology Physician	$48.3K	$0
Mario Einsman	MN	Clinical Social Worker	$41.9K	$1.4K
Everett Beguin	MN	Family Medicine Physician	$37.4K	$0

Winona Health Services — Billing Profile & Reimbursement Data

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Winona Health Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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