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.

Interventional Spine And Pain Physicians, PA (NPI 1326398561)

Interventional Spine And Pain Physicians, PA is a specialist provider located in Maple Grove, Minnesota. This profile covers 0 Medicare and 68 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	Interventional Spine And Pain Physicians, PA
Address	9645 Grove Cir N Ste 200
City	Maple Grove
State	MN
ZIP	55369
Taxonomy	Specialist
NPI Enumerated	September 14, 2012

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

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

68 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…	39,730	$40	$1.5M
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…	19,960	$50	$1.1M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5,660	$140	$803.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	16,000	$40	$575.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13,880	$40	$541.3K
99204	The provider sees a new 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 provider…	3,270	$90	$294.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	8,180	$30	$253.5K
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).	1,480	$100	$143.6K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	1,790	$80	$141.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	220	$150	$33.4K

Showing 1–10 of 68

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

Interventional Spine And Pain Physicians, PA — 6 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	10	3,220	$110	$2.2M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	10	2,200	$120	$1.3M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	11	10	1,590	$100	$1.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	27	30	340	$60	$890.4K
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…	111	1,180	1,150	$80	$605.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12	100	510	$40	$560.8K
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…	53	1,200	1,030	$70	$549.7K
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.	140	260	890	$60	$405.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	22	300	700	$30	$135.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	20	140	820	$30	$115.4K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Parmele	MN	Interventional Pain Medicine Physician	$122.6K	$0
Dustin Ward	MN	Pain Medicine (Anesthesiology) Physician	$96K	$0
Alyssa Schramm	MN	Family Nurse Practitioner	$94.6K	$0
Jason Wolff	MN	Interventional Pain Medicine Physician	$83.9K	$0
Ronald Boeding	MN	Pain Medicine (Anesthesiology) Physician	$83.4K	$0
Rano Faltas	MN	Anesthesiology Physician	$78.3K	$0
Evelyn Nietfeld	MN	Nurse Practitioner	$67.5K	$0
Elliott Wise	MN	Physician Assistant	$66.1K	$0
Alexandra Koes	MN	Physician Assistant	$62K	$0
Tobie Meyer	MN	Medical Physician Assistant	$52K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Al Shifa Dentistry PA	MN	Dental Clinic/Center	$0	$18.4M
Regency Home Healthcare Services LLC	MN	Home Health Agency	$0	$11.1M
Children's Clinic Network	MN	Primary Care Clinic/Center	$0	$10M
Osseo Area Schools	MN	Local Education Agency (LEA)	$0	$8.8M
Miso Dentistry, PC	MN	Dentist	$0	$8.4M
Maple Grove Hospital Corporation	MN	General Acute Care Hospital	$0	$7.6M
North Memorial Health Care	MN	Urgent Care Clinic/Center	$0	$4.5M
Metropolitan Surgical Center, LLC	MN	Ambulatory Surgical Clinic/Center	$1.6M	$1.3M
Asim Khan	MN	Rheumatology Physician	$2.4M	$0
Sumi Patel	MN	Rheumatology Physician	$364.5K	$0

Interventional Spine And Pain Physicians, PA — Billing Profile & Reimbursement Data

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Interventional Spine And Pain Physicians, PA — 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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