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    OpenPayerNPI Medicare & MedicaidSt Francis Regional Medical Center
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    St Francis Regional Medical Center — Billing Profile & Reimbursement Data

    NPI 1578520045 · Shakopee, MN · General Acute Care Hospital

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    St Francis Regional Medical Center is a general acute care hospital provider located in Shakopee, Minnesota. This profile covers 0 Medicare and 65 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Francis Regional Medical Center
    Address1455 Saint Francis Ave
    CityShakopee
    StateMN
    ZIP55379
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.20,820$290$5.9M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.23,340$180$4.3M
    G0463Hospital outpatient clinic visit for assessment and management of a patient14,410$50$720.3K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.3,450$100$334.9K
    0241UN/A1,710$130$213.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.5,550$40$199.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…18,270$10$182.7K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…5,140$40$179.8K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.2,340$70$159.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…6,820$20$129.5K

    Showing 1–10 of 65

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    65 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient34806,550$80$4.4M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.103160580$170$1.8M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.25210980$140$1.7M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.222201,730$120$1.3M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…1071101,880$50$564.6K
    D2930N/A6370610$170$518.6K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.247260890$60$405.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.127150500$110$293.1K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…164270550$70$254.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)235240730$100$243.2K

    Showing 1–10 of 65

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St Francis Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allina Health SystemMNAmbulance$9M$118M
    Allina Health SystemMNGeneral Acute Care Hospital$0$48.8M
    Allina Health SystemMNInternal Medicine Physician$0$32.9M
    Allina Health SystemMNGeneral Acute Care Hospital$0$27M
    Allina Health SystemMNGeneral Acute Care Hospital$0$25.7M
    Allina Health SystemMNFamily Medicine Physician$0$22.2M
    Allina Health SystemMNPhysical Medicine & Rehabilitation Physician$0$18.2M
    Allina Health SystemMNObstetrics & Gynecology Physician$0$13.2M
    Allina Health SystemMNFamily Medicine Physician$0$10.8M
    Allina Health SystemMNFamily Medicine Physician$0$7.5M

    Nearby Providers

    Other providers in the same ZIP code as St Francis Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Twin Cities HealthMNMental Health Counselor$0$16.7M
    Universal Health Services LLCMNHome Health Registered Nurse$0$15.2M
    Suburban Emergency Associates, P.A.MNNurse Practitioner$0$5.2M
    Northstar RegionalMNClinical Medical Laboratory$22.6K$2.7M
    Mohamed KhattabMNRadiation Oncology Physician$358.1K$0
    Edwin BogonkoMNInternal Medicine Physician$110.3K$0
    Brayton KiedrowskiMNSports Medicine (Family Medicine) Physician$60.4K$0
    Wendy BergeronMNFamily Medicine Physician$52.3K$0
    Eric HarlMNMedical Physician Assistant$47.4K$0
    Joelle WeirMNNurse Practitioner$45.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    St Francis Regional Medical Center — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota