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.

Central Pediatrics, P.A. (NPI 1396721387)

Field	Value
Entity Type	Organization
Organization	Central Pediatrics, P.A.
Address	9680 Tamarack Rd Ste 100
City	Woodbury
State	MN
ZIP	55125
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 21, 2005

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 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…	21,460	$50	$1.1M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	23,140	$40	$925.6K
X5622	N/A	8,020	$50	$433.3K
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…	5,550	$60	$355K
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…	4,520	$60	$271.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,760	$50	$203.2K
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…	2,570	$50	$136.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	11,300	$10	$124.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,170	$50	$108.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,590	$60	$95.6K

Showing 1–10 of 62

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

Central Pediatrics, P.A. — 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	309	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…	108	1,200	1,030	$70	$549.7K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	14	310	810	$30	$166.5K
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…	30	240	610	$70	$165.5K
X5622	N/A	23	300	470	$60	$159.8K
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…	52	200	720	$60	$155.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	18	250	250	$70	$98.6K
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.	67	200	430	$30	$92K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	119	490	170	$60	$81.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	316	560	2,600	$10	$62.5K

Showing 1–10 of 62

Nearby Providers

Other providers in the same ZIP code as Central Pediatrics, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valhalla Place, LLC	MN	Community/Behavioral Health Agency	$581K	$22.1M
St. Croix Psychiatric, LLC	MN	Psychiatry Physician	$0	$19.9M
Kubei Holding Group Inc	MN	Community/Behavioral Health Agency	$0	$15.5M
Holistic Home Care LLC	MN	Home Health Agency	$0	$14.7M
Redeemer Services, Inc.	MN	Case Management Agency	$0	$14.3M
Greatercare Facilities, LLC	MN	Home Health Agency	$0	$10.4M
B Tek, LLC	MN	Clinical Medical Laboratory	$0	$10.2M
Summit Orthopedics, Ltd	MN	Orthopaedic Surgery Physician	$0	$6.7M
Healtheast Woodwinds Hospital	MN	General Acute Care Hospital	$0	$6.2M
Allina Health System	MN	Family Medicine Physician	$0	$5.5M

Central Pediatrics, P.A. — Billing Profile & Reimbursement Data

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Central Pediatrics, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References