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.

Metro Behavioral Health, LLC (NPI 1568778660)

Field	Value
Entity Type	Organization
Organization	Metro Behavioral Health, LLC
Address	2701 University Ave Se Ste 205
City	Minneapolis
State	MN
ZIP	55414
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 26, 2010

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	61,730	$130	$8M
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…	5,910	$90	$550K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,210	$140	$164.4K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	240	$170	$40.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	250	$110	$28.3K
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…	180	$90	$15.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	60	$200	$11.1K
H0031	Mental health assessment, by non-physician	80	$40	$2.8K
H0032	Mental health service plan development by non-physician	50	$10	$480

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

Metro Behavioral Health, LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	14	230	6,320	$120	$2M
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…	887	1,180	1,150	$80	$605.7K
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…	211	1,140	1,010	$100	$543K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	76	80	1,070	$90	$341.2K
H0032	Mental health service plan development by non-physician	185	230	490	$80	$255.2K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	25	40	450	$240	$253K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	86	420	230	$90	$186.2K
H0031	Mental health assessment, by non-physician	118	170	270	$80	$136.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	172	500	90	$120	$124.6K

Nearby Providers

Other providers in the same ZIP code as Metro Behavioral Health, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fraser Child And Family Center	MN	Adolescent and Children Mental Health Clinic/Center	$0	$149.8M
Premier Biotech Labs, LLC	MN	Clinical Medical Laboratory	$416.7K	$41.4M
Emergency Care Consultants, PA	MN	Emergency Medicine Physician	$0	$40M
Alliance Clinic, LLC	MN	Health Maintenance Organization	$392.3K	$19M
Best Care Home Health, Inc.	MN	Home Health Agency	$0	$13.9M
Global Language Connections	MN	Interpreter	$0	$13.8M
Friendly Home Health Care	MN	Home Health Agency	$0	$9.5M
Reentry House, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
Fairview Clinics	MN	Primary Care Clinic/Center	$0	$4.7M
University Of Minnesota Physicians	MN	Multi-Specialty Clinic/Center	$0	$4.7M

Metro Behavioral Health, LLC — Billing Profile & Reimbursement Data

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Metro Behavioral Health, LLC — 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