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.

Allina Health System (NPI 1316904287)

Field	Value
Entity Type	Organization
Organization	Allina Health System
Address	4050 Coon Rapids Blvd Nw
City	Coon Rapids
State	MN
ZIP	55433
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$48.8M
Medicare	$0

Key Findings

ALLINA HEALTH SYSTEM is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reported $48.8M in lifetime Medicaid revenue, making its public payer footprint dominated by Medicaid rather than a dual Medicare/Medicaid mix. The provider's NPI was enumerated on 2006-04-26 (~20 years ago), indicating long-standing enrollment in federal billing systems.

Revenue concentration is high: the top three Medicaid codes (99284, 99283, H2035) together account for 75.4% of this provider's total Medicaid revenue, signaling that a small set of services drives the majority of Medicaid receipts. Individually, 99284 generated $18.1M (38.2% of Medicaid revenue) and 99283 generated $14.2M (29.9%), while H2035 contributed $3.5M (7.3%).

The code mix points to a service-line profile anchored in emergency department throughput plus behavioral health/substance-use services. The two largest revenue drivers are ED E/M codes 99284 and 99283, and the third-largest is H2035 (alcohol and/or other drug treatment program, per hour), indicating the facility operates both high-volume ED care and significant addiction-treatment programming billed to Medicaid.

Urgency mix in the ED skews toward moderate- and low-complexity visits: 99284 (moderate MDM) accounts for $18.1M (38.2%) and 99283 (low MDM) accounts for $14.2M (29.9%), while the highest-complexity ED code 99285 represents only $1.5M (3.1%). This distribution suggests the ED handles large volumes of lower- to moderate-acuity presentations rather than a predominance of highest-acuity encounters.

Competitive standing in-state is strong for several high-volume services: 99283 ranks #5 of 218 providers in-state (98th percentile; notably above typical state volume for this code) and 99284 ranks #7 of 206 (97th percentile; typical, unremarkable volume for this code), which together indicate the hospital is among the top ED volume providers in Minnesota. By contrast, behavioral-health codes show more mixed competitive positions: H2035 ranks #32 of 276 (89th percentile; typical, unremarkable volume) and H0035 (partial hospitalization) ranks #5 of 13 (67th percentile; typical, unremarkable volume), implying the provider is a meaningful but not dominant player in some behavioral health subservices.

Several ancillary and procedural codes are statistical outliers in volume relative to in-state peers, reflecting high throughput and procedural activity: 96374 (IV push medication) is ranked #4 of 89 (97th percentile; extreme outlier), 80048 (basic metabolic panel) is #6 of 271 (98th percentile; extreme outlier), 93005 (ECG without interpretation) is #3 of 112 (98th percentile; extreme outlier), and 85025 (CBC) is #6 of 374 (99th percentile; extreme outlier). These extreme-percentile lab and procedure volumes are consistent with a busy ED and high patient throughput generating many routine diagnostic and infusion procedures.

The provider also shows notable telehealth and infusion activity within its Medicaid billing mix: Q3014 (telehealth originating site facility fee) accounts for $429K and ranks #2 of 97 providers in-state (99th percentile; notably above typical state volume), while multiple infusion/IV administration codes (96374, 96361, 96375) appear at high state percentiles. Together these codes reinforce a picture of an organization delivering both in-person ED care and supported remote/ancillary services at scale.

While the top three codes dominate revenue, many other codes contribute meaningful peripheral revenue: laboratory panels (80053, 80048), imaging (70450, 71046), observation services (G0378), and inpatient subsequent visit code 99233 each appear in the top-25 Medicaid list and generally rank in typical-to-high percentiles statewide. This breadth of codes beyond the ED and addiction-treatment core indicates the facility provides a full spectrum of hospital outpatient and diagnostic services billed to Medicaid in addition to its focal service lines.

Medicaid: Complete Services Breakdown

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

129 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	67,950	$270	$18.1M
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.	83,850	$170	$14.2M
H2035	Alcohol and/or other drug treatment program, per hour	43,460	$80	$3.5M
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.	4,520	$330	$1.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	4,270	$330	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,340	$80	$930K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15,660	$60	$908.4K
H2012	Behavioral health day treatment, per hour	6,570	$140	$887.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	35,350	$20	$777.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	27,800	$30	$722.8K

Showing 1–10 of 129

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

Allina Health System — 8 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

129 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	33	80	6,550	$80	$4.4M
H2012	Behavioral health day treatment, per hour	21	40	6,530	$140	$3.7M
H2035	Alcohol and/or other drug treatment program, per hour	32	280	5,980	$120	$3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5	10	1,690	$300	$2.4M
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.	40	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.	7	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.	5	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…	35	120	400	$60	$685.8K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	13	20	650	$190	$566.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	62	110	1,880	$50	$564.6K

Showing 1–10 of 129

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
Allina Health System	MN	Internal Medicine Physician	$0	$32.9M
Allina Health System	MN	General Acute Care Hospital	$0	$27M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
Allina Health System	MN	Family Medicine Physician	$0	$22.2M
Allina Health System	MN	Physical Medicine & Rehabilitation Physician	$0	$18.2M
Allina Health System	MN	Obstetrics & Gynecology Physician	$0	$13.2M
St Francis Regional Medical Center	MN	General Acute Care Hospital	$0	$13M
Allina Health System	MN	Family Medicine Physician	$0	$10.8M
Allina Health System	MN	Family Medicine Physician	$0	$7.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nura PLLC	MN	Pain Medicine Physician	$0	$13.8M
Select Senior Living Of Coon Rapids, LLC	MN	Assisted Living Facility	$0	$13.6M
Empathy Home Care Inc	MN	Home Health Agency	$0	$7M
Family & Cosmetic Gentle Dentistry, Ltd	MN	General Practice Dentistry	$0	$6.4M
Nura PLLC	MN	Home Infusion Agency	$0	$6.2M
Kingdom Pathways	MN	Community/Behavioral Health Agency	$0	$5.2M
Uzma Ali	MN	Hematology & Oncology Physician	$868.9K	$0
Scott Peterson	MN	Ophthalmology Physician	$728.2K	$0
Nisha Jacobs	MN	Hematology & Oncology Physician	$674.5K	$0
Lucia Garino	MN	Hematology & Oncology Physician	$514.3K	$0

Allina Health System — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References