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.

Mngi Digestive Health, P.A. (NPI 1609804541)

Mngi Digestive Health, P.A. is a gastroenterology physician provider located in Minneapolis, Minnesota. This profile covers 0 Medicare and 78 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mngi Digestive Health, P.A.
Address	3001 Broadway St Ne Ste 500
City	Minneapolis
State	MN
ZIP	55413
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,930	$1,660	$3.2M
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…	28,960	$60	$1.7M
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	24,870	$70	$1.6M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	26,410	$60	$1.6M
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	27,100	$60	$1.5M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	880	$1,500	$1.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	34,960	$40	$1.3M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	21,730	$60	$1.2M
99204	The provider sees a new 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 provider…	13,320	$80	$1.1M
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	8,350	$120	$985.1K

Showing 1–10 of 78

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

Mngi Digestive Health, P.A. — 15 of 25 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1	10	60	$1,700	$1.1M
T1013	Sign language or oral interpretive services, per 15 minutes	51	210	560	$60	$822.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	85	120	400	$60	$685.8K
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…	69	1,180	1,150	$80	$605.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	126	1,200	1,030	$70	$549.7K
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	1	10	80	$1,450	$384.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13	170	620	$40	$333K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	1	20	110	$240	$253.2K
J3380	Injection, vedolizumab, intravenous, 1 mg	1	10	50	$4,550	$241.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	6	120	650	$50	$225.2K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Dental Services Inc	MN	Public Health Dentistry	$0	$25.4M
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
South Metro Human Services Dba Radias Health	MN	Case Management Agency	$0	$9.7M
South Metro Human Services- Fact	MN	Case Management Agency	$0	$8.7M
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

Mngi Digestive Health, P.A. — Billing Profile & Reimbursement Data

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Mngi Digestive Health, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Solem	MN	Gastroenterology Physician	$232.5K	$0
Zongyu Chen	MN	Gastroenterology Physician	$220.1K	$0
Emily Stern	MN	Gastroenterology Physician	$206.7K	$0
James Vancura	MN	Gastroenterology Physician	$204.7K	$0
April Grudell	MN	Gastroenterology Physician	$202.6K	$0
Joshua Colton	MN	Gastroenterology Physician	$183.3K	$0
Rajanshu Verma	MN	Internal Medicine Physician	$175K	$0
Patrick Oreilly	MN	Gastroenterology Physician	$174K	$0
Sean Teagarden	MN	Gastroenterology Physician	$173.6K	$0
Thomas Koenig	MN	Gastroenterology Physician	$173.1K	$0