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-fairmont (NPI 1366410862)

Mayo Clinic Health System-fairmont is a multi-specialty clinic/center provider located in Fairmont, Minnesota. This profile covers 0 Medicare and 78 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	Mayo Clinic Health System-fairmont
Address	800 Medical Center Dr
City	Fairmont
State	MN
ZIP	56031
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	28,480	$50	$1.4M
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.	10,790	$70	$744.6K
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…	21,550	$30	$689.7K
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.	3,340	$100	$337.3K
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…	3,220	$70	$238.4K
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.	6,420	$40	$231.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,410	$70	$93.1K
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…	1,610	$50	$78.8K
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…	1,380	$50	$70.4K
V2020	Frames, purchases	1,960	$30	$60.7K

Showing 1–10 of 78

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-fairmont — 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	43	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.	43	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.	72	220	1,730	$120	$1.3M
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…	48	50	310	$130	$678K
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…	70	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…	107	1,200	1,030	$70	$549.7K
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…	1,065	1,140	1,010	$100	$543K
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…	123	170	620	$40	$333K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	28	40	510	$60	$295.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	81	90	260	$60	$214.5K

Showing 1–10 of 78

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	$13.7M
Mayo Clinic Health System-fairmont	MN	General Acute Care Hospital	$0	$9M
Kevin Brough	KS	MOHS-Micrographic Surgery Physician	$1.7M	$0
Peter Noseworthy	MN	Cardiovascular Disease Physician	$1.1M	$0
Brian King	AL	MOHS-Micrographic Surgery Physician	$998.5K	$0
Michael Wang	MN	Dermatology Physician	$737.9K	$0
Peter Reichert	MN	Diagnostic Radiology Physician	$656.3K	$0
Bhavini Carns	MN	Clinical Pathology/Laboratory Medicine Physician	$432.2K	$0
Thanh Ho	MN	Medical Oncology Physician	$425.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Heartland, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$119M
Human Services Of Faribault & Martin Counties	MN	Public Health or Welfare Agency	$0	$5.7M
Hy-vee Inc	MN	Community/Retail Pharmacy	$190.5K	$30
Astrup Drug Inc	MN	Community/Retail Pharmacy	$83.1K	$100.7K
Steven Parnell	MN	Family Medicine Physician	$95.6K	$0
Rachel Ziegler	MN	Neurology Physician	$87.9K	$0
Timothy Sheneman	MN	Internal Medicine Physician	$74.5K	$0
Mckenzie Terfehr	MN	Nurse Practitioner	$61.9K	$0
Spencer Seibert	MN	Optometrist	$60.3K	$0
Nathan Reyelts	MN	Physician Assistant	$51.7K	$0

Mayo Clinic Health System-fairmont — Billing Profile & Reimbursement Data

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Mayo Clinic Health System-fairmont — 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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