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.

Tria Orthopaedic Center LLC (NPI 1518273085)

Tria Orthopaedic Center LLC is a orthopaedic surgery physician provider located in Bloomington, Minnesota. This profile covers 0 Medicare and 54 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	Tria Orthopaedic Center LLC
Address	8100 Northland Dr
City	Bloomington
State	MN
ZIP	55431
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	August 23, 2010

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	51,640	$30	$1.5M
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…	19,320	$60	$1.2M
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…	21,340	$50	$1M
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…	13,800	$70	$924.8K
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…	7,370	$100	$736.7K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	4,780	$60	$291.8K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1,910	$130	$248.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	6,860	$30	$199K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	5,730	$30	$194.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	9,610	$20	$182.6K

Showing 1–10 of 54

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

Tria Orthopaedic Center LLC — 4 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	170	210	560	$60	$822.1K
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…	162	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…	110	1,200	1,030	$70	$549.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	77	260	890	$60	$405.3K
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…	210	420	230	$90	$186.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6	300	700	$30	$135.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	25	140	820	$30	$115.4K
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…	13	350	150	$90	$110.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	20	40	150	$70	$103.5K
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…	7	450	140	$60	$101.3K

Showing 1–10 of 54

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Tria Orthopaedic Center LLC	MN	Ambulatory Surgical Clinic/Center	$2.2M	$2K
Mehdi Najafi	MA	Ophthalmology Physician	$1.8M	$0
Marni Feldmann	MN	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Yang Liu	MN	Hematology & Oncology Physician	$1.4M	$0
Elizabeth Miller	MN	Rheumatology Physician	$1.3M	$0
Bethel Averbeck	MN	Internal Medicine Physician	$1.2M	$0
Paul Drayna	MN	Retina Specialist (Ophthalmology) Physician	$1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Residential Inc	MN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$26.2M
Infinite Health Collaborative, PA	MN	Orthopaedic Surgery Physician	$0	$19.4M
Recover Health Resources LLC	MN	Community/Behavioral Health Agency	$0	$14M
Minnesota Dental Surgery PLLC	MN	Dental Clinic/Center	$0	$12.4M
Lovaas Institute For Early Intervention - Midwest, Inc.	MN	Community/Behavioral Health Agency	$0	$8.1M
Affinity Residential Care LLC	MN	Nursing Facility/Intermediate Care Facility	$0	$7M
Bloomington Public Schools	MN	Local Education Agency (LEA)	$0	$6.6M
Residential Care At Nine Mile Creek	MN	Assisted Living Facility	$0	$5.1M
Minnesota Eye Laser & Surgery Centers, LLC	MN	Ambulatory Surgical Clinic/Center	$1.4M	$86.2K
Mehdi Roozbahani	MN	Retina Specialist (Ophthalmology) Physician	$411.7K	$0

Tria Orthopaedic Center LLC — Billing Profile & Reimbursement Data

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Tria Orthopaedic Center LLC — 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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