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.

Douglas County Hospital (NPI 1447526330)

Douglas County Hospital is a family medicine physician provider located in Alexandria, Minnesota. This profile covers 0 Medicare and 67 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	Douglas County Hospital
Address	610 30th Ave W
City	Alexandria
State	MN
ZIP	56308
Taxonomy	Family Medicine Physician
NPI Enumerated	March 26, 2012

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

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

67 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…	37,780	$50	$1.9M
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…	52,610	$30	$1.7M
X5622	N/A	6,020	$60	$355.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	11,430	$20	$205.8K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	11,320	$10	$158.5K
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…	3,250	$40	$143.1K
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…	1,540	$80	$117K
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…	3,260	$30	$110.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,410	$50	$108.6K
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…	1,850	$60	$101.6K

Showing 1–10 of 67

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

Douglas County Hospital — 3 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	72	120	400	$60	$685.8K
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…	48	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…	37	1,200	1,030	$70	$549.7K
99337	N/A	10	10	120	$70	$544.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	100	250	$100	$399.5K
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…	109	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…	38	40	510	$60	$295.8K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	36	40	250	$80	$235.8K
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…	56	90	260	$60	$214.5K
99336	N/A	16	30	210	$50	$207.3K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas County Hospital	MN	General Acute Care Hospital	$0	$17.7M
Yun Chau Lee	MN	Emergency Medicine Physician	$112.5K	$316.1K
Jeffrey Harris	GA	Obstetrics & Gynecology Physician	$4.5K	$282.4K
James Andrews	MN	Physical Medicine & Rehabilitation Physician	$265.8K	$0
Sarah Harvey	MN	Dermatology Physician	$119.7K	$0
Marion Raflores	MN	Hematology & Oncology Physician	$118.3K	$0
Timothy Lindley	MN	Neurological Surgery Physician	$110K	$0
Dennis Weigel	MN	Orthopaedic Surgery Physician	$109.6K	$0
Jessica Butanis	MN	Internal Medicine Physician	$100.7K	$0
Jonathan Dehart	MN	Anatomic Pathology & Clinical Pathology Physician	$79.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Public Health	MN	Public Health or Welfare Agency	$4.9K	$12.3M
West Central Dental Resource, Inc	MN	Dentist	$0	$10.4M
Northway Academy, Inc.	MN	Developmental Disabilities Clinic/Center	$0	$4.6M
Oakdale Health Enterprises, Inc.	MN	Ambulance	$840.4K	$3M
Vance Thompson Vision Surgery Center Alexandria, LLC	MN	Ambulatory Surgical Clinic/Center	$1.3M	$0
Center For Pain Management Ambulatory Surgery, Ltd	MN	Pain Medicine Physician	$976.2K	$0
Deborah Ristvedt	MN	Ophthalmology Physician	$507.8K	$0
Bruce Evink	MN	Family Medicine Physician	$255.6K	$0
Center For Pain Management Ambulatory Surgery, Ltd	MN	Ambulatory Surgical Clinic/Center	$236.2K	$0
Minnesota Eye Institute Surgery Center, LLC	MN	Ambulatory Surgical Clinic/Center	$205.2K	$0

Douglas County Hospital — Billing Profile & Reimbursement Data

Sign up for Douglas County Hospital — Billing Profile & Reimbursement Data policy alerts

Douglas County Hospital — Billing Profile & Reimbursement Data

Sign up for Douglas County Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References