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.

Welia Health (NPI 1528031390)

Welia Health is a critical access hospital provider located in Mora, Minnesota. This profile covers 0 Medicare and 107 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	Welia Health
Address	301 Highway 65 S
City	Mora
State	MN
ZIP	55051
Taxonomy	Critical Access Hospital
NPI Enumerated	February 10, 2006

Payer Source	Total Paid
Medicaid	$14.4M
Medicare	$0

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

107 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	23,210	$170	$3.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8,830	$400	$3.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15,280	$200	$3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	4,600	$150	$703.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	12,060	$30	$337.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	27,160	$10	$325.9K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	3,090	$80	$256.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,930	$110	$215.9K
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…	1,850	$120	$212.8K
A0425	Ground mileage, per statute mile	980	$160	$153.7K

Showing 1–10 of 107

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

Welia Health — 0 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	45	60	780	$470	$5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	33	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	37	210	980	$140	$1.7M
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.	23	220	1,730	$120	$1.3M
A0425	Ground mileage, per statute mile	50	110	870	$80	$971K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	28	30	340	$60	$890.4K
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…	747	1,180	1,150	$80	$605.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	87	100	510	$40	$560.8K
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…	645	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.	243	260	890	$60	$405.3K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Welia Health	MN	Rural Health Clinic/Center	$0	$6.2M
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Elias Issa	GA	Internal Medicine Physician	$216.4K	$0
Nathan Groebner	MN	Diagnostic Radiology Physician	$140.7K	$0
Joel Nelson	MN	Cornea and External Diseases Specialist Physician	$135.5K	$0
Andrew Clary	MN	Interventional Pain Medicine Physician	$133.6K	$0
Subbarao Inampudi	MN	Diagnostic Radiology Physician	$119.4K	$0
Thomas Matson	MN	Diagnostic Radiology Physician	$116.5K	$0
Douglass Hassell	MN	Diagnostic Radiology Physician	$101.8K	$0
Courtney Minadakis	MN	Physician Assistant	$93.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovering Hope Treatment Center, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$23.9M
Kanabec County Family Services	MN	Case Management Agency	$0	$6.9M
Shannon Koski	MN	Adult Health Nurse Practitioner	$44.7K	$0
Siegfried Feierabend	MN	Orthopaedic Surgery Physician	$28.2K	$0

Welia Health — Billing Profile & Reimbursement Data

Sign up for Welia Health — Billing Profile & Reimbursement Data policy alerts

Welia Health — Billing Profile & Reimbursement Data

Sign up for Welia Health — 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