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.

Olmsted Medical Center (NPI 1538112131)

Field	Value
Entity Type	Organization
Organization	Olmsted Medical Center
Address	1650 4th St Se
City	Rochester
State	MN
ZIP	55904
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$41.2M
Medicare	$0

Key Findings

OLMSTED MEDICAL CENTER is effectively a Medicaid-focused provider: there is no Medicare billing on file and reported Medicaid revenue is $41.2M, so payer analysis should concentrate on Medicaid performance and exposure rather than Medicare. This makes the provider effectively single-payer in the dataset provided.

Revenue is highly concentrated in a small set of outpatient and emergency services: the top three Medicaid codes (G0463, 99283, 99284) together account for 79.4% of the provider's total Medicaid revenue. Individually these are G0463 ($15.9M, 41.4%), 99283 ($8M, 20.7%), and 99284 ($6.6M, 17.3%), which together dominate the revenue mix.

The code mix indicates a heavy operational emphasis on outpatient clinic assessments and emergency department care: G0463 (331.6K claims) is the single largest revenue driver and 9928x series volumes (68.8K claims for 99283 and 42.8K claims for 99284) point to very high ambulatory/ED throughput. These volumes suggest the facility operates at scale for unscheduled and ambulatory evaluation-and-management services for Medicaid patients.

Competitive standing in-state is strong for the highest-volume clinic and ED codes: G0463 ranks #3 of 81 providers in-state at the 98th percentile and is described as notably above typical state volume, while 99283 ranks #6 of 218 (98th percentile) and is also notably above typical state volume. 99284 ranks #14 of 206 (94th percentile) and is described as typical or unremarkable, so the provider is a major regional player for some Medicaid outpatient/ED services but less dominant for higher-complexity ED visits.

Ancillary and procedural services support the high ED/outpatient footprint: very large volumes of laboratory collection (36415: 83.4K claims, $1.1M and ranked #6 of 564, 99th percentile, notably above typical state volume) and meaningful use of imaging, injections, and infusion codes (examples include 71046, 74177, 76801, 96374, J2315, J0585) indicate comprehensive on-site diagnostics and therapeutic administration beyond simple E/M visits. This mix is consistent with a full-service acute care hospital that delivers point-of-care procedures and diagnostics for Medicaid patients.

The provider’s business is materially dependent on ED and outpatient visit reimbursement: because the top three codes account for 79.4% of Medicaid revenue, changes in utilization patterns or reimbursement for G0463 and the 9928x ED codes would have outsized effects on overall Medicaid receipts. Analysts should flag concentration risk when modeling revenue or negotiating managed-care arrangements.

The NPI was enumerated on 2006-05-18 (~20 years ago), indicating an established presence in the market; claim volumes reported (for example, 331.6K claims for G0463 and 83.4K claims for 36415) corroborate an operational footprint consistent with a large regional acute care hospital serving Medicaid populations. This tenure plus high claim counts supports expectations of entrenched referral and patient flows within-state.

Medicaid: Complete Services Breakdown

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

242 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	331,570	$50	$15.9M
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.	68,770	$120	$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.	42,850	$160	$6.6M
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.	9,660	$180	$1.7M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	83,420	$10	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,240	$90	$822.4K
J2315	Injection, naltrexone, depot form, 1 mg	600	$940	$564.5K
J0585	Injection, onabotulinumtoxina, 1 unit	920	$610	$556.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	5,200	$70	$358.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,270	$150	$329.6K

Showing 1–10 of 242

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

Olmsted Medical Center — 5 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

242 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	80	6,550	$80	$4.4M
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.	31	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.	14	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.	6	220	1,730	$120	$1.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	10	10	280	$2,150	$1M
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…	84	120	400	$60	$685.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	50	310	$130	$678K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	84	110	1,880	$50	$564.6K
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…	1,054	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…	663	1,140	1,010	$100	$543K

Showing 1–10 of 242

Related Providers

Other providers that share a Tax Identification Number (TIN) with Olmsted Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Olmsted Medical Center	MN	Clinic/Center	$0	$22.2M
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Aaron Gould	IL	Diagnostic Radiology Physician	$126.2K	$209.3K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Colin Rock	MN	Pain Medicine (Anesthesiology) Physician	$70.6K	$244.9K
Jaclyn Andrick	IA	Diagnostic Radiology Physician	$249.7K	$0
Michael Rogan	MN	Diagnostic Radiology Physician	$245K	$0
Richard Levey	CA	Diagnostic Radiology Physician	$241.5K	$0
David Hollander	CO	Diagnostic Radiology Physician	$237K	$0

Nearby Providers

Other providers in the same ZIP code as Olmsted Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem River Bluffs, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$165.7M
Zumbro Valley Health Center	MN	Community/Behavioral Health Agency	$0	$36.1M
Rochester Pediatric Dentistry LLC	MN	Dental Clinic/Center	$0	$11.6M
Community Dental Care	MN	General Practice Dentistry	$0	$9M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.2M
County Of Olmsted	MN	Public Health or Welfare Agency	$0	$7.3M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$6.4M
Remjoy Special Tranportation Services LLC	MN	Non-emergency Medical Transport (VAN)	$0	$5.4M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$4.7M
Kevin Christensen	MN	Dermatology Physician	$308.5K	$0

Olmsted Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References