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.

Sanford Health Of Northern Minnesota (NPI 1427567601)

Field	Value
Entity Type	Organization
Organization	Sanford Health Of Northern Minnesota
Address	722 15th St Nw
City	Bemidji
State	MN
ZIP	56601
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 20, 2017

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	29,930	$210	$6.3M
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…	11,420	$210	$2.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	13,720	$150	$2M
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…	3,750	$300	$1.1M
H2014	Skills training and development, per 15 minutes	6,030	$140	$837.6K
H2011	Crisis intervention service, per 15 minutes	3,360	$210	$693K
H2035	Alcohol and/or other drug treatment program, per hour	6,950	$90	$604.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,330	$150	$493.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	800	$170	$133K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,290	$20	$105.8K

Showing 1–10 of 32

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

Sanford Health Of Northern Minnesota — 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	14	40	25,290	$200	$5.8M
T2023	Targeted case management; per month	174	190	2,820	$480	$4.2M
H2035	Alcohol and/or other drug treatment program, per hour	130	280	5,980	$120	$3M
H2014	Skills training and development, per 15 minutes	96	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	74	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	152	240	1,870	$50	$1.9M
T2003	Non-emergency transportation; encounter/trip	228	240	7,020	$30	$803.5K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	71	80	2,640	$30	$614.1K
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…	389	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	93	130	1,640	$80	$599.5K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Health Of Northern Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
John Watkins	ND	Radiation Oncology Physician	$1M	$0
Jonathan Marshall	NY	Diagnostic Radiology Physician	$761.9K	$4.4K
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Stephanie Liu	ND	Dermatopathology (Pathology) Physician	$581.5K	$0

Nearby Providers

Other providers in the same ZIP code as Sanford Health Of Northern Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem North Star, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$132.7M
White Earth Band Of Ojibwe	MN	Community/Behavioral Health Agency	$0	$32.6M
Mississippi Headwaters Area Dental Health Center, Inc.	MN	Public Health Dentistry	$0	$11.8M
Independent School District #31	MN	Local Education Agency (LEA)	$0	$8.8M
Gph Beltrami Inc	MN	Assisted Living Facility	$0	$8.1M
Bemidji Ambulance Service, Inc.	MN	Land Ambulance	$995.8K	$6.4M
Choice Therapy, P.A.	MN	Rehabilitation Clinic/Center	$0	$6.2M
Stellher Human Services, Inc.	MN	Community/Behavioral Health Agency	$0	$5.4M
County Of Beltrami	MN	State or Local Public Health Clinic/Center	$0	$5.1M
Northern Minnesota Addiction Wellness Center	MN	Substance Abuse Rehabilitation Facility	$0	$4.5M

Sanford Health Of Northern Minnesota — 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