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.

Fraser Child And Family Center (NPI 1609922194)

Field	Value
Entity Type	Organization
Organization	Fraser Child And Family Center
Address	3333 University Ave Se
City	Minneapolis
State	MN
ZIP	55414
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$149.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric operation: lifetime Medicaid revenue is $149.8M and there is no Medicare billing on file, indicating a single-payer (Medicaid) revenue base rather than a mixed Medicare/Medicaid practice. The absence of Medicare activity makes Medicaid policy, rates, and network relationships the primary drivers of the organization’s financial performance and contracting priorities.

Revenue is highly concentrated in a few service lines: the top three Medicaid codes (H2012 $58.9M, 39.6%; T2023 $21.8M, 14.7%; 97153 $17.3M, 11.7%) account for 66.0% of total Medicaid revenue. That concentration means changes to reimbursement or utilization for these specific codes would materially affect the provider’s revenue.

The code mix and volumes point to an operation focused on intensive behavioral health services for children and adolescents: H2012 (behavioral health day treatment) is the single largest revenue driver with $58.9M and 313.4K claims, while T2023 (targeted case management, $21.8M, 37.5K claims) and 97153 (technician-delivered adaptive behavior treatment, $17.3M, 118K claims) show heavy throughput for day-treatment, case management, and ABA-style services. High volumes of time-based and per-15-minute codes suggest repeated-session, programmatic care rather than episodic specialty procedures.

Operational model appears to rely substantially on technician-delivered and supervised behavioral services: 97153 shows 118K claims and 97154 shows 80.5K claims (with $1.6M revenue), and related supervisory codes 97155 and 97156 also appear in the top list. This mix indicates staffing and capacity built around technicians delivering face-to-face ABA/adaptive behavior treatments under supervision, supporting a high-frequency, session-based service footprint.

The provider is a dominant in-state player on multiple Medicaid codes: H2012 ranks #1 of 42 providers in-state (100th percentile; extreme outlier), and several family- and assessment-related codes—90846 ($5.5M) and H0031 ($4.4M) and 90847 ($3.4M)—also rank #1 in-state (100th percentile; extreme outlier). These rankings indicate that for behavioral health day treatment, family therapy, and non-physician mental health assessment the provider is operating far above typical state volumes and likely captures substantial share in its service niche.

High-volume psychotherapy and diagnostic activity complements the day-treatment and ABA services: 90837 shows 81.7K claims and $10.1M revenue (6.8%) and ranks #7 of 1143 providers in-state (99th percentile; notably above typical state volume), while 90791 has 14.8K claims and $2.3M revenue and ranks #4 of 496 providers (99th percentile; extreme outlier). This pattern signals substantial capacity for both extended psychotherapy sessions and initial psychiatric evaluations alongside programmatic services.

The organization provides a broad set of ancillary and coordination services that support multi-modal care: psychological testing codes (96131 $956.7K, rank #2 of 33, 97th percentile; 96130 $440.6K, rank #4 of 48, 94th percentile), care-coordination/medical home code S0281 ($896.9K), and interpretation services T1013 (16K claims, $542.5K) appear in the top-25 list. These items suggest integrated assessments and care coordination are part of its product mix, which aligns with the high T2023 targeted case management volumes.

The provider’s NPI tenure (enumerated 2007-01-26, ~19 years ago) indicates a long-standing presence in the market; combined with high-volume rankings and multiple extreme-outlier codes, this tenure supports a picture of a well-established, scaled Medicaid behavioral health provider in Minnesota rather than a recent entrant or small clinic.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	313,430	$190	$58.9M
T2023	Targeted case management; per month	37,480	$580	$21.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	118,020	$150	$17.3M
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…	81,660	$120	$10.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	42,670	$140	$5.8M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	54,620	$100	$5.5M
H0031	Mental health assessment, by non-physician	48,740	$90	$4.4M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	33,090	$100	$3.4M
H0032	Mental health service plan development by non-physician	35,410	$80	$2.8M
H2014	Skills training and development, per 15 minutes	53,560	$50	$2.6M

Showing 1–10 of 37

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

Fraser Child And Family Center — 12 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	14	190	2,820	$480	$4.2M
H2012	Behavioral health day treatment, per hour	1	40	6,530	$140	$3.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4	50	6,550	$90	$3.1M
H2014	Skills training and development, per 15 minutes	9	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	25	230	6,320	$120	$2M
H2019	Therapeutic behavioral services, per 15 minutes	11	50	5,850	$110	$1.2M
T1013	Sign language or oral interpretive services, per 15 minutes	19	210	560	$60	$822.1K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	7	50	1,140	$70	$720.1K
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…	797	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…	7	1,140	1,010	$100	$543K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Fraser Child And Family Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Metro Behavioral Health, LLC	MN	Community/Behavioral Health Agency	$0	$8.8M
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

Fraser Child And Family Center — Billing Profile & Reimbursement Data

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Fraser Child And Family Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References