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.

Minnesota Oncology Hematology, PA (NPI 1528035995)

Field	Value
Entity Type	Organization
Organization	Minnesota Oncology Hematology, PA
Address	2550 University Ave W
City	Saint Paul
State	MN
ZIP	55114
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	32,250	$50	$1.6M
J9271	Injection, pembrolizumab, 1 mg	280	$5,720	$1.6M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	19,150	$60	$1.1M
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…	7,990	$70	$567.5K
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…	12,490	$40	$449.7K
J2469	Injection, palonosetron hcl, 25 mcg	5,530	$50	$254.2K
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…	41,660	$10	$250K
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	580	$430	$248.8K
J1453	Injection, fosaprepitant, 1 mg	1,960	$120	$241.3K
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.	27,870	$10	$195.1K

Showing 1–10 of 77

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

Minnesota Oncology Hematology, PA — 12 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9002	Coordinated care fee, maintenance rate	20	20	6,640	$150	$2.4M
J9271	Injection, pembrolizumab, 1 mg	1	10	280	$5,720	$1.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	107	120	400	$60	$685.8K
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…	59	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…	186	1,200	1,030	$70	$549.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	55	100	250	$100	$399.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	54	170	620	$40	$333K
J2469	Injection, palonosetron hcl, 25 mcg	1	10	5,530	$50	$256.8K
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	1	10	580	$430	$249.1K
J1453	Injection, fosaprepitant, 1 mg	1	10	1,960	$120	$240.5K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Minnesota Oncology Hematology, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holland Center	MN	Developmentally Disabled Services Day Training Agency	$0	$16.3M
Robert Delaune	MN	Hematology & Oncology Physician	$1.9M	$0
Vladimir Hugec	MN	Hematology & Oncology Physician	$1.8M	$0
Yang Liu	MN	Hematology & Oncology Physician	$1.4M	$0
David King	MN	Medical Oncology Physician	$1.3M	$0
Avina Singh	MN	Hematology & Oncology Physician	$971.9K	$0
Ben Zhang	MN	Hematology & Oncology Physician	$914.4K	$0
Uzma Ali	MN	Hematology & Oncology Physician	$868.9K	$0
Samith Thomas Kochuparambil	MN	Hematology & Oncology Physician	$827.8K	$0
Ryan Funk	MN	Radiation Oncology Physician	$716.7K	$0

Nearby Providers

Other providers in the same ZIP code as Minnesota Oncology Hematology, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Activstyle, LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$219.4M
Handi Medical Supply, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$43.3M
Planned Parenthood Minnesota, North Dakota, South Dakota	MN	Non-Surgical Family Planning Clinic/Center	$0	$38.2M
Mental Health Resources, Inc.	MN	Community/Behavioral Health Agency	$0	$30.8M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Carefocus Corporation	MN	Home Health Agency	$0	$12.2M
Metro Psychology Support Services, Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Psych Recovery Inc	MN	Psychiatry Physician	$0	$4.6M
Patrick Oreilly	MN	Gastroenterology Physician	$174K	$0
Jeffrey Rank	MN	Gastroenterology Physician	$170.6K	$0

Minnesota Oncology Hematology, PA — Billing Profile & Reimbursement Data

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Minnesota Oncology Hematology, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References