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.

Regions Hospital (NPI 1306873872)

Regions Hospital is a general acute care hospital provider located in Saint Paul, Minnesota. This profile covers 0 Medicare and 27 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	Regions Hospital
Address	435 Phalen Blvd
City	Saint Paul
State	MN
ZIP	55130
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,090	$4,140	$4.5M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	560	$600	$335.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	570	$400	$227.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	450	$430	$190.9K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	630	$240	$150.3K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	10	$6,630	$79.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	40	$1,400	$51.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	90	$480	$40.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,290	$10	$25.7K
J2250	Injection, midazolam hydrochloride, per 1 mg	7,820	$1	$7.8K

Showing 1–10 of 27

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

Regions Hospital — 2 of 13 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	10	280	$2,150	$1M
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	7	20	110	$240	$253.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	24	120	650	$50	$225.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	8	20	220	$190	$189.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	13	40	100	$140	$148.2K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	2	10	40	$2,610	$114.8K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	14	20	140	$170	$79.1K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	7	20	40	$410	$69K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	1	10	30	$230	$51.5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	11	80	100	$60	$46.6K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
John Zeyer	MN	Ophthalmology Physician	$521K	$5.5K
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0
Keith Moench	MN	Physical Medicine & Rehabilitation Physician	$178.7K	$0
Paul Carolan	MN	Diagnostic Radiology Physician	$174.3K	$0
Nathan Block	MN	Diagnostic Radiology Physician	$146K	$0
Elana Nack	MN	Radiation Oncology Physician	$106.9K	$0
Julia Johnson	MN	Neurology Physician	$106.2K	$0
Haley Bawek	MN	Physical Therapist	$97.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
V-care Home Health, Inc.	MN	Home Health Agency	$0	$20.8M
Culture Home Healthcare Incorporated	MN	Home Health Agency	$0	$12.5M
Kaying Vang	MN	Homeopath	$0	$8.8M
Lighthouse Psychological Services, Inc.	MN	Community/Behavioral Health Agency	$0	$7.8M
American Indian Family Center	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.5M
Stephen Tan	MN	MOHS-Micrographic Surgery Physician	$295.3K	$0
Sarang Patel	MN	Endocrinology, Diabetes & Metabolism Physician	$173.1K	$0
Gregory Mucha	MN	Endocrinology, Diabetes & Metabolism Physician	$154.7K	$0
Priyanka Sabharwal	MN	Neurology Physician	$112.7K	$0
Rebecca Koerner	MN	Physical Medicine & Rehabilitation Physician	$93.7K	$0

Regions Hospital — Billing Profile & Reimbursement Data

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Regions Hospital — 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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