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    OpenPayerNPI Medicare & MedicaidDakota County
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    Dakota County — Billing Profile & Reimbursement Data

    NPI 1427127620 · Saint Paul, MN · Case Management Agency

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    Dakota County is a case management agency provider located in Saint Paul, Minnesota. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDakota County
    Address1 Mendota Rd W
    CitySaint Paul
    StateMN
    ZIP55118
    TaxonomyCase Management Agency
    NPI EnumeratedNovember 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$74.7M
    Medicare$0

    Key Findings

    DAKOTA COUNTY is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue reported is $74.7M, indicating the organization’s operations and payer relationships are concentrated within state Medicaid programs rather than Medicare. This profile should be evaluated from a Medicaid-only competitive and operational perspective.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes (T2023, T2003, T1016) account for 97.0% of this provider's total Medicaid revenue. The three leading codes are T2023 ($35.6M; 47.6% of Medicaid revenue), T2003 ($19.7M; 26.4%), and T1016 ($17.2M; 23.0%), which together define the bulk of billing activity and financial exposure.

    The code mix and descriptions point to a case-management and transportation-focused operation: T2023 (Targeted case management; per month), T1016 (Case management, each 15 minutes), and T2003 (Non-emergency transportation; encounter/trip) dominate billing, suggesting the provider’s service line centers on coordinated case management and large-scale NEMT logistics rather than clinical or acute services. High claim counts (e.g., T1016 at 350.2K claims and T2003 at 78.4K claims) reinforce that these are high-frequency, programmatic service lines.

    DAKOTA COUNTY occupies a strong competitive position in targeted case management and time-based case management within Minnesota: T2023 ranks #10 of 192 providers in-state (95th percentile; notably above typical state volume for this code) and T1016 ranks #6 of 236 providers in-state (98th percentile; notably above typical state volume for this code). Those ranks indicate the organization is a major in-state provider for these case-management services rather than a marginal participant.

    Non-emergency transportation (T2003) shows large absolute volume—78.4K claims and $19.7M revenue—but is characterized in the data as a typical, unremarkable volume for the code despite a #18 of 235 state rank (93th percentile). In practical terms, the provider operates a sizable transportation program that generates meaningful revenue but, per peer benchmarks, does not appear to be an unusual outlier in NEMT provisioning.

    Several lower-revenue codes indicate niche or ancillary service strengths that exceed typical state activity: T2041 (Supports brokerage, self-directed, waiver; per 15 minutes) ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume) and X5621 ranks #2 of 17 (94th percentile; notably above typical state volume), even though each contributes only small shares of total revenue. These positions suggest the provider may hold specialized roles in waiver supports and other nonstandard services that could be strategic complements to its core case-management and transportation business.

    The provider’s NPI has been enumerated since 2006-11-06 (~20 years ago), indicating long tenure and an established billing history with the state Medicaid program. That longevity, combined with concentrated revenue in recurring case-management and transportation codes, suggests stable operational relationships with state payers and programmatic continuity over time.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2023Targeted case management; per month40,590$880$35.6M
    T2003Non-emergency transportation; encounter/trip78,430$250$19.7M
    T1016Case management, each 15 minutes350,150$50$17.2M
    S5120Chore services; per 15 minutes10,300$90$968.6K
    H2011Crisis intervention service, per 15 minutes4,330$100$437.6K
    X5621N/A2,490$150$376.4K
    T2025Waiver services; not otherwise specified (nos)4,200$60$239.4K
    T2041Supports brokerage, self-directed, waiver; per 15 minutes2,850$60$156.5K
    H0031Mental health assessment, by non-physician310$110$34.7K
    S5130Homemaker service, nos; per 15 minutes130$170$22K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2023Targeted case management; per month101902,820$480$4.2M
    T1017Targeted case management, each 15 minutes24307,860$210$3.8M
    T1016Case management, each 15 minutes62401,870$50$1.9M
    S5130Homemaker service, nos; per 15 minutes2252407,130$40$1M
    T1013Sign language or oral interpretive services, per 15 minutes118210560$60$822.1K
    T2003Non-emergency transportation; encounter/trip182407,020$30$803.5K
    S5120Chore services; per 15 minutes320570$160$688.1K
    T2025Waiver services; not otherwise specified (nos)420890$80$489.6K
    H2011Crisis intervention service, per 15 minutes4301,240$160$295.6K
    H0031Mental health assessment, by non-physician81170270$80$136.1K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Dakota County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Opportunity Partners Inc.MNDevelopmentally Disabled Services Day Training Agency$0$10.3M
    Itasca CorporationMNInterpreter$0$9.2M
    Fridley Assisted Living, LLCMNAssisted Living Facility$0$8.4M
    Mendota Heights Wp LLCMNAssisted Living Facility$0$6.4M
    Phoenix Service CorporationMNCase Management Agency$0$6.2M
    West St. Paul - Mendota Heights Isd 197MNLocal Education Agency (LEA)$0$4.3M
    Walgreen CoMNPharmacy$110.1K$0
    Stephen AntonelloMNClinical Psychologist$60.5K$0
    Daniel GatlinMNSurgery Physician$24.7K$0
    Nathan MilenderMNFamily Nurse Practitioner$23.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Dakota County — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota