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.

Natalis Outcomes, LLC (NPI 1558761981)

Field	Value
Entity Type	Organization
Organization	Natalis Outcomes, LLC
Address	1821 University Ave W Ste 155
City	Saint Paul
State	MN
ZIP	55104
Taxonomy	Case Management Agency
NPI Enumerated	September 4, 2014

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	20,180	$230	$4.6M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	9,300	$270	$2.5M
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10,530	$90	$937.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,240	$130	$433.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2,690	$120	$325K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,690	$80	$209.7K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2,730	$40	$109K
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…	860	$70	$60.1K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	2,000	$10	$22K
T1013	Sign language or oral interpretive services, per 15 minutes	510	$40	$20.8K

Showing 1–10 of 13

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

Natalis Outcomes, LLC — 4 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	110	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…	643	1,180	1,150	$80	$605.7K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3	80	1,070	$90	$341.2K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	2	40	450	$240	$253K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	3	30	190	$210	$137.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	41	500	90	$120	$124.6K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	3	40	100	$150	$75.4K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	50	90	$100	$74.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	103	110	70	$140	$64.1K
96101	N/A	19	20	90	$110	$39.3K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Natalis Outcomes, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Hoistad	MN	Psychologist	$17.2K	$0

Nearby Providers

Other providers in the same ZIP code as Natalis Outcomes, LLC, 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
Amherst H. Wilder Foundation	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
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

Natalis Outcomes, LLC — Billing Profile & Reimbursement Data

Sign up for Natalis Outcomes, LLC — Billing Profile & Reimbursement Data policy alerts

Natalis Outcomes, LLC — Billing Profile & Reimbursement Data

Sign up for Natalis Outcomes, LLC — 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