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.

Emily Program P C (NPI 1528165065)

Field	Value
Entity Type	Organization
Organization	Emily Program P C
Address	2265 Como Avenue
City	St Paul
State	MN
ZIP	55108
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 19, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5,170	$460	$2.4M
S9480	Intensive outpatient psychiatric services, per diem	7,110	$110	$810.3K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	600	$1,280	$761.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	9,300	$80	$697.3K
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…	3,730	$100	$388.2K
S9470	Nutritional counseling, dietitian visit	3,020	$80	$232.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,780	$50	$188.9K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	3,040	$50	$146K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	430	$90	$40.3K
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.	730	$10	$6.6K

Showing 1–10 of 17

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

Emily Program P C — 1 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	41	60	4,380	$450	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	4	10	1,690	$300	$2.4M
S9480	Intensive outpatient psychiatric services, per diem	4	10	1,670	$130	$770.4K
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…	391	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…	1,074	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	142	1,140	1,010	$100	$543K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	139	620	560	$80	$361.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	310	340	300	$100	$209.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	95	120	980	$60	$174.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	126	500	90	$120	$124.6K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emily Program P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Emily Program PC	WA	Community/Behavioral Health Agency	$0	$5.4M
Nicholas Weiss	WA	Psychiatry Physician	$166.1K	$0
Kristin Mellein	WA	Family Nurse Practitioner	$32.3K	$0

Nearby Providers

Other providers in the same ZIP code as Emily Program P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accord	MN	Community/Behavioral Health Agency	$0	$112.2M
Evergreen Recovery	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$47.2M
Allina Health System	MN	Family Medicine Physician	$0	$10.8M
Asian Adult Day Care LLC	MN	Respite Care	$0	$7.5M
Metropolitan Pediatric Dental Associates, Ltd	MN	Pediatric Dentistry	$0	$4.7M
Gene Chen	MN	Ophthalmology Physician	$342.5K	$0
James Dorrian	MN	Dermatology Physician	$250K	$0
Stephen Mchale	MN	Otolaryngology Physician	$79.2K	$0
Jamie Hanson	MN	Dermatology Physician	$75.7K	$0
Joshua Woelk	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$30.5K	$0

Emily Program P C — Billing Profile & Reimbursement Data

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Emily Program P C — 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