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.

Amherst H. Wilder Foundation (NPI 1548337355)

Field	Value
Entity Type	Organization
Organization	Amherst H. Wilder Foundation
Address	451 Lexington Pkwy N
City	Saint Paul
State	MN
ZIP	55104
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	32,580	$420	$13.5M
H0040	Assertive community treatment program, per diem	22,830	$290	$6.5M
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…	30,180	$140	$4.3M
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…	21,280	$110	$2.3M
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…	15,370	$130	$2M
H2035	Alcohol and/or other drug treatment program, per hour	9,710	$100	$980.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	5,870	$110	$657.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	8,110	$80	$640.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,560	$140	$616.1K
H2014	Skills training and development, per 15 minutes	6,380	$80	$484.5K

Showing 1–10 of 27

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

Amherst H. Wilder Foundation — 2 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	24	40	25,290	$200	$5.8M
T2023	Targeted case management; per month	18	190	2,820	$480	$4.2M
H2035	Alcohol and/or other drug treatment program, per hour	107	280	5,980	$120	$3M
H2014	Skills training and development, per 15 minutes	92	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	102	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	221	240	1,870	$50	$1.9M
T1013	Sign language or oral interpretive services, per 15 minutes	30	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…	468	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	68	130	1,640	$80	$599.5K
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…	969	1,200	1,030	$70	$549.7K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Amherst H. Wilder Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Home Health Care Inc.	MN	Home Health Agency	$0	$66.7M
Fairview Express Care	MN	Specialist	$0	$33.1M
Allegiance Ability Assistance LLC	MN	Home Health Agency	$0	$25.9M
Pathways Counseling Center, Inc.	MN	Rehabilitation Psychologist	$0	$23.3M
Catholic Charities Of The Archdiocese Of St Paul & Mpls	MN	Case Management Agency	$0	$17.5M
Twin Town Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$16.7M
Caremate Home Health Care, Inc.	MN	Home Health Agency	$0	$14.2M
Ea Bilingual Services, Inc.	MN	Interpreter	$0	$12.6M
Transitions Homes Corporation	MN	Substance Abuse Rehabilitation Facility	$0	$11.8M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Amherst H. Wilder Foundation — Billing Profile & Reimbursement Data

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Amherst H. Wilder Foundation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References