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.

Riverview Healthcare Association (NPI 1487944898)

Riverview Healthcare Association is a rural health clinic/center provider located in Crookston, Minnesota. This profile covers 0 Medicare and 43 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	Riverview Healthcare Association
Address	323 S Minnesota St
City	Crookston
State	MN
ZIP	56716
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 19, 2011

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,890	$210	$4.3M
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…	10,520	$200	$2.1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,060	$190	$754.2K
X5622	N/A	2,570	$290	$731.3K
99203	The provider sees a new 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 provider…	1,620	$180	$297.7K
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…	1,010	$200	$205.6K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	980	$170	$166.8K
99204	The provider sees a new 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 provider…	350	$180	$62.6K
99442	N/A	130	$170	$21.8K
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…	370	$40	$14.3K

Showing 1–10 of 43

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

Riverview Healthcare Association — 0 of 16 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

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	204	220	1,730	$120	$1.3M
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…	195	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…	113	1,200	1,030	$70	$549.7K
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…	105	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	95	310	810	$30	$166.5K
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…	135	240	610	$70	$165.5K
X5622	N/A	62	300	470	$60	$159.8K
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…	129	200	720	$60	$155.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	26	160	200	$50	$119.6K
99204	The provider sees a new 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 provider…	132	350	150	$90	$110.6K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamid Abbasi	MN	Neurological Surgery Physician	$317.3K	$0
David Schall	ND	Orthopaedic Surgery Physician	$268.1K	$0
Gary Matthys	ND	Orthopaedic Surgery Physician	$217.7K	$0
Todd Sekundiak	NE	Orthopaedic Surgery Physician	$188.5K	$0
Matthew Byrnes	IN	Surgical Critical Care Physician	$159K	$1.5K
Abbey Anderson	MN	Nurse Practitioner	$144.8K	$0
Timothy Weiland	WI	Anatomic Pathology & Clinical Pathology Physician	$126K	$1K
Rebecca Schulz	MN	Family Nurse Practitioner	$111.1K	$0
Sunny Kim	MN	Orthopaedic Surgery of the Spine Physician	$98.7K	$0
Noah Chelliah	ND	Cardiovascular Disease Physician	$92.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alluma, Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.1M
Independence Plus Incorporate	MN	Home Health Agency	$0	$9.2M
Crookston Area Ambulance, Inc.	MN	Land Ambulance	$197.8K	$492.6K
David Frugone Larrea	MN	Geriatric Medicine (Internal Medicine) Physician	$133.4K	$0
Thrifty Drug Stores Inc	MN	Community/Retail Pharmacy	$41.1K	$14.6K
Eric Roed	MN	Certified Registered Nurse Anesthetist	$48.3K	$0
Ashley Tebay	MN	Family Nurse Practitioner	$44.9K	$0
Paul Michels	MN	Psychiatry Physician	$34.2K	$0
Hannah Reski	MN	Physician Assistant	$22.4K	$0
Monica Wells	MN	Acute Care Nurse Practitioner	$12K	$0

Riverview Healthcare Association — Billing Profile & Reimbursement Data

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Riverview Healthcare Association — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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