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.

Group Health, Inc. (NPI 1316538101)

Field	Value
Entity Type	Organization
Organization	Group Health, Inc.
Address	205 Wabasha St S
City	Saint Paul
State	MN
ZIP	55107
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 3, 2021

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	5,030	$300	$1.5M
D1120	Prophylaxis–child	7,880	$70	$567.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,690	$50	$523.1K
D0120	Periodic oral evaluation - established patient	7,150	$70	$464.8K
D1351	Sealant - per tooth	6,070	$60	$382.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,080	$170	$361.6K
D0272	N/A	5,520	$60	$309.2K
D2392	Post 2 surface resin‑based composite	1,830	$170	$302.6K
D2391	Resin‑based composite – one surface, posterior	2,040	$130	$258.7K
D0160	N/A	1,220	$100	$120.3K

Showing 1–10 of 25

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

Group Health, Inc. — 0 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	17	70	610	$170	$518.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	66	240	730	$100	$243.2K
D2392	Post 2 surface resin‑based composite	62	270	540	$90	$161.5K
D0140	Limited oral evaluation – problem focused	199	390	730	$60	$153.3K
D0120	Periodic oral evaluation - established patient	65	740	430	$50	$120.3K
D2391	Resin‑based composite – one surface, posterior	52	250	420	$70	$116.6K
D2934	N/A	8	10	440	$260	$112.8K
D0330	N/A	170	370	590	$60	$109K
D1354	N/A	32	80	370	$30	$108.1K
D0150	Comprehensive oral evaluation – new or established patient	187	370	530	$60	$91.1K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Polly Quiram	MN	Ophthalmology Physician	$3.7M	$0
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Edwin Ryan	MN	Ophthalmology Physician	$1.5M	$0
Elizabeth Miller	MN	Rheumatology Physician	$1.3M	$0

Nearby Providers

Other providers in the same ZIP code as Group Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guild	MN	Community/Behavioral Health Agency	$0	$44.6M
Tapestry Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$18.6M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$17.3M
Midtling Oral & Maxillofacial Surgery, PA	MN	Oral and Maxillofacial Surgery Clinic/Center	$0	$16M
Cerenity Senior Care	MN	Skilled Nursing Facility	$0	$11.2M
Chokchai Chareandee	MN	Nephrology Physician	$100.6K	$0
Islam Khan	MN	Nephrology Physician	$67.5K	$0
Andrew Kummer	MN	Nephrology Physician	$49.3K	$0
Nadar Ali	MN	Family Medicine Physician	$35.1K	$0
Leslie Mcguire	MN	Certified Registered Nurse Anesthetist	$31.6K	$0

Group Health, Inc. — Billing Profile & Reimbursement Data

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Group Health, Inc. — 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