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.

Mayo Clinic Health System-southeast Minnesota Region (NPI 1346258100)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-southeast Minnesota Region
Address	404 W Fountain St
City	Albert Lea
State	MN
ZIP	56007
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$37.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

216 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	197,130	$70	$13.8M
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.	22,110	$370	$8.1M
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.	28,270	$190	$5.3M
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.	19,510	$230	$4.5M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	6,450	$90	$567.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	72,620	$10	$435.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,650	$160	$428.5K
0241U	N/A	3,200	$130	$400.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	14,660	$30	$366.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,370	$100	$320K

Showing 1–10 of 216

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

Mayo Clinic Health System-southeast Minnesota Region — 5 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

216 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	6	80	6,550	$80	$4.4M
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.	17	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.	29	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.	17	220	1,730	$120	$1.3M
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…	10	10	2,200	$120	$1.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	7	10	280	$2,150	$1M
T1013	Sign language or oral interpretive services, per 15 minutes	67	210	560	$60	$822.1K
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…	68	120	400	$60	$685.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	35	50	310	$130	$678K
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…	73	110	1,880	$50	$564.6K

Showing 1–10 of 216

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayo Clinic Health System-southeast Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$21.8M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$13.7M
Mayo Clinic Health System-southeast Minnesota Region	MN	Substance Abuse Rehabilitation Facility	$0	$12.6M
Mayo Clinic Health System-southeast Minnesota Region	MN	General Acute Care Hospital	$0	$6.6M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$4.4M
Joseph Accurso	FL	Diagnostic Radiology Physician	$1.3M	$0
Gordon Gibbs	CO	Vascular & Interventional Radiology Physician	$1.2M	$0
Peter Noseworthy	MN	Cardiovascular Disease Physician	$1.1M	$0
Brian King	AL	MOHS-Micrographic Surgery Physician	$998.5K	$0

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Health System-southeast Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independent School District 241	MN	Local Education Agency (LEA)	$0	$9.2M
Vu Dental Services LLC	MN	Dental Clinic/Center	$0	$5.2M
County Of Freeborn	MN	Public Health or Welfare Agency	$0	$5.1M
Brian Zogg	MN	Dermatology Physician	$215.1K	$0
Hy-vee Inc	MN	Community/Retail Pharmacy	$145.9K	$120
Travis Klatt	MN	Podiatrist	$129.5K	$0
Chad Weaver	MN	Dermatology Physician	$99.2K	$0
Michael Eckstrom	MN	Orthopaedic Surgery Physician	$81.1K	$0
Leonid Skorin	MN	Ophthalmology Physician	$69.7K	$0
Eun Jong Kim	MN	Physical Medicine & Rehabilitation Physician	$58.7K	$0

Mayo Clinic Health System-southeast Minnesota Region — Billing Profile & Reimbursement Data

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Mayo Clinic Health System-southeast Minnesota Region — 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