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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSt. Cloud Hospital
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    St. Cloud Hospital — Billing Profile & Reimbursement Data

    NPI 1467615294 · Saint Cloud, MN · Substance Use Disorder Rehabilitation Hospital Unit

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    St. Cloud Hospital is a substance use disorder rehabilitation hospital unit provider located in Saint Cloud, Minnesota. This profile covers 0 Medicare and 4 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
    OrganizationSt. Cloud Hospital
    Address3701 12th St N Ste 201
    CitySaint Cloud
    StateMN
    ZIP56303
    TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
    NPI EnumeratedJuly 2, 2008

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

    Payer SourceTotal Paid
    Medicaid$5.2M
    Medicare$0

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2035Alcohol and/or other drug treatment program, per hour40,300$130$5.1M
    H0001Alcohol and/or drug assessment290$130$36K
    H0038Self‑help/peer services, per 15 minutes210$40$7.4K
    T1016Case management, each 15 minutes470$10$5.7K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2035Alcohol and/or other drug treatment program, per hour342805,980$120$3M
    T1016Case management, each 15 minutes1682401,870$50$1.9M
    H0038Self‑help/peer services, per 15 minutes1021301,640$80$599.5K
    H0001Alcohol and/or drug assessment89190220$140$158.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St. Cloud Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Cloud HospitalMNGeneral Acute Care Hospital$0$53.4M
    Minneapolis Clinic Of Neurology, LtdMNNeurology Physician$0$5M
    St. Cloud HospitalMNClinic/Center$0$4.4M
    Sue MandellWARadiation Oncology Physician$302.2K$0
    Hani AlkhatibMNHematology & Oncology Physician$173.1K$0
    Ramesh Kumar TentuMNHospitalist Physician$171.8K$0
    Bradley StishMNRadiation Oncology Physician$171.7K$0
    John DvorakMNOphthalmology Physician$160.8K$0
    Karan ShahILRadiation Oncology Physician$156.9K$0
    Christopher MillerMNRadiation Oncology Physician$136.7K$0

    Nearby Providers

    Other providers in the same ZIP code as St. Cloud Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Minnesota Mental Health CenterMNMental Health Counselor$0$36.2M
    Centracare ClinicMNMulti-Specialty Clinic/Center$0$20.8M
    Centracare ClinicMNMulti-Specialty Clinic/Center$0$19.3M
    Eye Kraft Optical, IncMNEyewear Supplier$0$17.7M
    Northway Academy, Inc.MNDevelopmental Disabilities Clinic/Center$0$14.4M
    Koala Dental Care, LLCMNPediatric Dentistry$0$11.3M
    Centracare Health SystemsMNClinical Medical Laboratory$1.2M$9.4M
    Centracare Health SystemMNClinical Medical Laboratory$345.1K$9.1M
    St. Cloud Area School District 742MNLocal Education Agency (LEA)$0$9.3M
    Centracare ClinicMNMulti-Specialty Clinic/Center$0$6.9M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    St. Cloud Hospital — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota