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.

Rochester Independent School District No. 535 (NPI 1568472769)

Field	Value
Entity Type	Organization
Organization	Rochester Independent School District No. 535
Address	615 7th St Sw
City	Rochester
State	MN
ZIP	55902
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	617,860	$50	$27.8M

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

Rochester Independent School District No. 535 — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	3	400	11,290	$40	$1.6M

Nearby Providers

Other providers in the same ZIP code as Rochester Independent School District No. 535, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic Hospital-rochester	MN	General Acute Care Hospital	$0	$11.5M
Mayo Clinic	MN	Air Ambulance	$2.6M	$8.7M
The Gables LLC	MN	Substance Abuse Rehabilitation Facility	$0	$4.7M
Hy-vee Inc	MN	Community/Retail Pharmacy	$135.3K	$60
Anastasia Albers	MN	Occupational Therapist	$66.1K	$0
Jeffrey Bennett	MN	Optometrist	$43.7K	$0
Alicia Minnis	MN	Gerontology Nurse Practitioner	$31K	$0
Yoojung Butler	MN	Certified Registered Nurse Anesthetist	$11.6K	$0

Rochester Independent School District No. 535 — Billing Profile & Reimbursement Data

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Rochester Independent School District No. 535 — Billing Profile & Reimbursement Data

Sign up for Rochester Independent School District No. 535 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References