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.

Fond Du Lac Reservation Business Committee (NPI 1326053166)

Field	Value
Entity Type	Organization
Organization	Fond Du Lac Reservation Business Committee
Address	927 Trettle Lane
City	Cloquet
State	MN
ZIP	55720
Taxonomy	Clinic/Center
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$25.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

89 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…	11,410	$460	$5.2M
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…	7,660	$480	$3.6M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	8,020	$430	$3.4M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4,460	$530	$2.4M
99441	N/A	2,860	$500	$1.4M
T1017	Targeted case management, each 15 minutes	5,500	$220	$1.2M
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	1,420	$540	$771.8K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	1,740	$440	$763.4K
D0120	Periodic oral evaluation - established patient	3,010	$210	$635.5K
99442	N/A	1,150	$490	$555.8K

Showing 1–10 of 89

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

Fond Du Lac Reservation Business Committee — 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	15	30	7,860	$210	$3.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	30	80	3,620	$130	$961.3K
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…	102	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…	243	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…	206	1,200	1,030	$70	$549.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	76	170	620	$40	$333K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	132	420	230	$90	$186.2K
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…	123	240	610	$70	$165.5K
D2392	Post 2 surface resin‑based composite	248	270	540	$90	$161.5K
99391	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…	107	200	720	$60	$155.4K

Showing 1–10 of 89

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fond Du Lac Reservation Business Committee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fond Du Lac Reservation Business Committee	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Shihshiang Cheng	NV	Diagnostic Radiology Physician	$223.3K	$0
James Bolton	AL	Diagnostic Radiology Physician	$206.1K	$0
Monik Lala	MI	Diagnostic Radiology Physician	$132.4K	$0
Zachary Redus	OH	Diagnostic Radiology Physician	$99.7K	$0
Arne Vainio	MN	Family Medicine Physician	$25.1K	$0
Charity Reynolds	MN	Family Medicine Physician	$18.5K	$0
Kiara Levar	MN	Family Medicine Physician	$17.4K	$0
Lorraine Turner	MN	Family Medicine Physician	$17.1K	$0

Nearby Providers

Other providers in the same ZIP code as Fond Du Lac Reservation Business Committee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Carlton	MN	Case Management Agency	$0	$13.7M
Split Rock Operations	MN	Assisted Living Facility	$0	$8.5M
Community Memorial Hospital Association	MN	Critical Access Hospital	$0	$4.3M
Cloquet Area Fire District	MN	Land Ambulance	$422.9K	$1.5M
White Drug Enterprises Inc	MN	Community/Retail Pharmacy	$172.6K	$47.1K
Joey Vork	MN	Family Nurse Practitioner	$102.5K	$0
Rhonda Johnson	MN	Physical Therapist	$38.8K	$0
Karla Kukowski	MN	Physical Therapist	$37K	$0
David Anderson	MN	Emergency Medicine Physician	$27K	$0
Abigail Anderson	MN	Physician Assistant	$15.2K	$0

Fond Du Lac Reservation Business Committee — Billing Profile & Reimbursement Data

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Fond Du Lac Reservation Business Committee — 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