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.

Independent School District 625 (NPI 1467513887)

Field	Value
Entity Type	Organization
Organization	Independent School District 625
Address	360 Colborne St
City	Saint Paul
State	MN
ZIP	55102
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Key Findings

INDEPENDENT SCHOOL DISTRICT 625 is effectively a single-payer Medicaid biller: Total Medicare revenue is listed as none (no Medicare billing on file) while Total Medicaid revenue is $43.1M, indicating the organization’s reimbursement activity is concentrated entirely in Medicaid-funded services. This payer mix suggests its financial exposure and revenue cycles are tightly linked to state Medicaid policies and school-based billing arrangements.

Medicaid revenue is extremely concentrated in a single service line: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1018 alone accounting for $43M (99.8% of this provider's total Medicaid revenue). T1013 contributes the remaining $95K (0.2%), leaving virtually all Medicaid dollars tied to bundled school-based IEP services.

The code mix and volumes point to a core operational focus on school-based special education services: T1018 (School-based individualized education program (iep) services, bundled) is the primary revenue driver, while T1013 (Sign language or oral interpretive services, per 15 minutes) appears as a much smaller, ancillary service line. This pattern aligns with the provider taxonomy as a Local Education Agency (LEA) and indicates day-to-day operations are centered on delivering and billing IEP-related services to Medicaid-eligible students.

T1018’s state-level standing is dominant: the code ranks #1 of 404 providers in-state (100th percentile) and is explicitly described as an extreme outlier and far above typical state volume for this code. That ranking indicates INDEPENDENT SCHOOL DISTRICT 625 is a statewide leader in billing for bundled school-based IEP services and likely captures a disproportionate share of Medicaid school health payments in Minnesota.

By contrast, T1013 shows only modest participation in the in-state market: it ranks #57 of 211 providers in-state (73th percentile) with 2.1K claims and $95K revenue, characterized as typical and unremarkable volume for this code. This suggests sign language/oral interpretation services are provided but are not a major revenue center relative to the district’s bundled IEP billing.

The operational scale behind the dominant code is large in claims volume: T1018 records 1.5M claims with a $29 avg paid/claim, which underscores substantial transaction-processing requirements and sustained service delivery across the district. High claim volume at modest per-claim payment implies the provider’s revenue is driven by broad service delivery to many students rather than high-margin individual procedures.

The provider has long-standing enrollment in the NPI system, enumerated on 2006-12-12 (~20 years ago), indicating institutional continuity and established billing relationships with payers. This tenure combined with the concentration in school-based billing suggests the district has maintained stable operational procedures for Medicaid school health reimbursement over an extended period.

The extreme revenue concentration creates business and policy sensitivity: with 99.8% of Medicaid revenue tied to T1018 and the top 3 codes totaling 100.0% of Medicaid revenue, the district is vulnerable to any changes in state rules, reimbursement rates, or allowable school-based service definitions. For payers and analysts, this profile signals that monitoring state policy shifts, coding edits, or audit focus on school-based IEP billing will be most material to the district’s financial outlook.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	1,482,640	$30	$43M
T1013	Sign language or oral interpretive services, per 15 minutes	2,110	$50	$95K

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

Independent School District 625 — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	1	400	11,290	$40	$1.6M
T1013	Sign language or oral interpretive services, per 15 minutes	57	210	560	$60	$822.1K

Nearby Providers

Other providers in the same ZIP code as Independent School District 625, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
City Of St Paul	MN	Land Ambulance	$2M	$40.9M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
United Family Practice Health Center	MN	Family Medicine Physician	$0	$17.7M
Ramsey County	MN	Public Health or Welfare Agency	$0	$9.8M
Serenity Home Health Care System Inc	MN	Home Health Agency	$0	$4.6M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$4.5M
Healtheast St Josephs Hospital	MN	General Acute Care Hospital	$0	$4.3M
Mark Palmer	MN	Radiation Oncology Physician	$563.7K	$0
Ryan Youland	MN	Radiation Oncology Physician	$543.4K	$0

Independent School District 625 — Billing Profile & Reimbursement Data

Sign up for Independent School District 625 — Billing Profile & Reimbursement Data policy alerts

Independent School District 625 — Billing Profile & Reimbursement Data

Sign up for Independent School District 625 — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References