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.

St Louis County Phhs Dept (NPI 1407083421)

Field	Value
Entity Type	Organization
Organization	St Louis County Phhs Dept
Address	320 W 2nd St
City	Duluth
State	MN
ZIP	55802
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 17, 2009

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	14,150	$430	$6M
H0040	Assertive community treatment program, per diem	31,760	$190	$5.9M
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)	5,410	$120	$643.6K
T1016	Case management, each 15 minutes	1,000	$30	$30.9K
H0001	Alcohol and/or drug assessment	50	$160	$7.6K
G9002	Coordinated care fee, maintenance rate	110	$0	$0

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

St Louis County Phhs Dept — 0 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	12	40	25,290	$200	$5.8M
T2023	Targeted case management; per month	40	190	2,820	$480	$4.2M
G9002	Coordinated care fee, maintenance rate	18	20	6,640	$150	$2.4M
T1016	Case management, each 15 minutes	145	240	1,870	$50	$1.9M
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)	23	80	3,620	$130	$961.3K
H0001	Alcohol and/or drug assessment	139	190	220	$140	$158.2K

Nearby Providers

Other providers in the same ZIP code as St Louis County Phhs Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accend Services Incorporated	MN	Adult Mental Health Clinic/Center	$0	$34.8M
Center For Alcohol And Drug Treatment, Inc.	MN	Professional Counselor	$0	$24.1M
Minnesota Teen Challenge, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$8.9M
Duluth Isd 709	MN	Local Education Agency (LEA)	$0	$8.4M
Mark Berry	MN	Interventional Cardiology Physician	$224.4K	$0
Rebecca Kuntz	MN	Diagnostic Radiology Physician	$205.6K	$0
Walgreen Co	MN	Pharmacy	$142.3K	$0
Glenn Meints	MN	Foot Surgery Podiatrist	$45.4K	$79.3K
Tammy Davis	MN	Family Nurse Practitioner	$89K	$0
Anna Rosenberg	MN	Family Nurse Practitioner	$85.2K	$0

St Louis County Phhs Dept — Billing Profile & Reimbursement Data

Sign up for St Louis County Phhs Dept — Billing Profile & Reimbursement Data policy alerts

St Louis County Phhs Dept — Billing Profile & Reimbursement Data

Sign up for St Louis County Phhs Dept — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References