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.

South Metro Human Services- Fact (NPI 1568904654)

Field	Value
Entity Type	Organization
Organization	South Metro Human Services- Fact
Address	2021 E Hennepin Ave
City	Minneapolis
State	MN
ZIP	55413
Taxonomy	Case Management Agency
NPI Enumerated	November 7, 2016

Payer Source	Total Paid
Medicaid	$8.7M
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
H0040	Assertive community treatment program, per diem	39,180	$220	$8.7M

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

South Metro Human Services- Fact — 0 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
H0040	Assertive community treatment program, per diem	11	40	25,290	$200	$5.8M

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Metro Human Services- Fact, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
South Metro Human Services	MN	Case Management Agency	$0	$11.8M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services-act Blue	MN	Case Management Agency	$0	$9.9M
South Metro Human Services Dba Radias Health	MN	Case Management Agency	$0	$9.7M
South Metro Human Services Dba Radias Health	MN	Case Management Agency	$0	$6.6M

Nearby Providers

Other providers in the same ZIP code as South Metro Human Services- Fact, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Dental Services Inc	MN	Public Health Dentistry	$0	$25.4M
Mngi Digestive Health, P.A.	MN	Gastroenterology Physician	$0	$21.6M
Mils Minnesota Independent Living Services, Inc	MN	Custodial Care Facility	$0	$16.4M
Specialized Treatment Services, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$13.6M
Mngi Endoscopy Asc Inc	MN	Ambulatory Surgical Clinic/Center	$3.1M	$5.6M
Geriatric Services Of Minnesota, LLC	MN	Geriatric Medicine (Family Medicine) Physician	$0	$8.3M
Anoka Health Center LLC	MN	Adult Mental Health Clinic/Center	$0	$7.5M
Innovations For Aging, LLC	MN	Case Management Agency	$8K	$831.6K
Sarah Linder	MN	Gerontology Nurse Practitioner	$146.4K	$0
Scott Fairbairn	MN	Geriatric Medicine (Family Medicine) Physician	$45.8K	$0

South Metro Human Services- Fact — Billing Profile & Reimbursement Data

Sign up for South Metro Human Services- Fact — Billing Profile & Reimbursement Data policy alerts

South Metro Human Services- Fact — Billing Profile & Reimbursement Data

Sign up for South Metro Human Services- Fact — 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