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.

Accord (NPI 1609923853)

Field	Value
Entity Type	Organization
Organization	Accord
Address	1515 Energy Park Drive
City	St. Paul
State	MN
ZIP	55108
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicaid	$112.2M
Medicare	$0

Key Findings

ACCORD is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $112.2M, indicating its clinical and billing footprint is concentrated in Medicaid-funded community and behavioral health services. The absence of Medicare activity suggests the organization focuses its operating model and payer relationships on state Medicaid programs and waivers rather than Medicare-covered senior services.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes by revenue account for 92.3% of this provider's total Medicaid revenue. This degree of concentration implies that changes in reimbursement policy or utilization for those few codes would materially affect overall revenue.

The largest single revenue contributor is S5135 (Companion care, adult; per 15 minutes), which generated $49.9M and represents 44.5% of the provider's Medicaid revenue; ACCORD ranks #2 of 52 providers in-state and is at the 98th percentile for this code. That ranking combined with 180.8K claims and a $276 avg paid/claim indicates substantial scale in companion and ADL/IADL support services, consistent with an organization delivering high-volume in-home or community support.

T1016 (Case management, each 15 minutes) is also a dominant line with $41.6M in revenue (37.1% of Medicaid revenue), 815.5K claims, and a $51 avg paid/claim; ACCORD ranks #3 of 236 providers in-state and is labeled an "extreme outlier, far above typical state volume for this code." This suggests ACCORD operates a very large case-management operation relative to peers, which may reflect heavy reliance on care coordination and waiver/case management billing streams.

S5150 (Unskilled respite care, not hospice; per 15 minutes) contributes $12.1M (10.8% of Medicaid revenue) and ranks #2 of 19 providers in-state at the 94th percentile. Combined with the companion care and case management volumes, this mix points to an operating model centered on in-home respite and supportive services for Medicaid-covered populations and caregiver relief.

Beyond the top three, ACCORD bills a range of habilitation and waiver services at smaller scale: T2019 (Habilitation, supported employment, waiver) produced $3.7M (3.3% of revenue) and ranks #3 of 22 providers (90th percentile), while S5140 (Foster care, adult; per diem) generated $3.1M (2.8% of revenue) and sits near median statewide rank (#36 of 59, 40th percentile). These secondary lines show meaningful participation in waiver and foster-care payment streams but do not rival the dominant companion and case management services.

Some codes in the file show claims with no recorded paid amounts (for example H2032 and T2021 show claims but $0 avg paid/claim and $0 revenue), indicating either zero-dollar encounters, administrative submissions, or services not reimbursed under current fee schedules; these are negligible contributors to revenue. Analysts should treat these entries as activity signals rather than revenue drivers when modeling financial exposure.

ACCORD has an established presence: the NPI was enumerated on 2007-01-03 (~19 years ago), which supports interpretation of the provider as a long-standing community/behavioral health agency with entrenched Medicaid relationships. Given its high statewide ranks for key codes (two top-3 statewide placements and multiple 90th+ percentiles), the organization is a major Medicaid player in Minnesota for companion care and case management but remains narrowly focused on those few high-volume codes.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	180,790	$280	$49.9M
T1016	Case management, each 15 minutes	815,510	$50	$41.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	55,870	$220	$12.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	62,440	$60	$3.7M
S5140	Foster care, adult; per diem	24,200	$130	$3.1M
T2003	Non-emergency transportation; encounter/trip	19,580	$30	$626.6K
T2017	Habilitation, residential, waiver; 15 minutes	6,010	$100	$570.9K
H2014	Skills training and development, per 15 minutes	3,760	$140	$507.2K
H2032	Activity therapy, per 15 minutes	190	$0	$0
T2021	Day habilitation, waiver; per 15 minutes	770	$0	$0

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

Accord — 2 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	36	60	33,770	$300	$37.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	50	5,600	$170	$5.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	20	2,680	$150	$3.4M
H2014	Skills training and development, per 15 minutes	117	190	6,230	$120	$2.2M
T1016	Case management, each 15 minutes	3	240	1,870	$50	$1.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	20	3,250	$70	$1.1M
H2032	Activity therapy, per 15 minutes	65	70	3,950	$120	$1M
T2021	Day habilitation, waiver; per 15 minutes	11	10	11,840	$80	$880.6K
T2017	Habilitation, residential, waiver; 15 minutes	12	20	6,790	$100	$879.8K
T2003	Non-emergency transportation; encounter/trip	75	240	7,020	$30	$803.5K

Nearby Providers

Other providers in the same ZIP code as Accord, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evergreen Recovery	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$47.2M
Allina Health System	MN	Family Medicine Physician	$0	$10.8M
Asian Adult Day Care LLC	MN	Respite Care	$0	$7.5M
Emily Program P C	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Metropolitan Pediatric Dental Associates, Ltd	MN	Pediatric Dentistry	$0	$4.7M
Gene Chen	MN	Ophthalmology Physician	$342.5K	$0
James Dorrian	MN	Dermatology Physician	$250K	$0
Stephen Mchale	MN	Otolaryngology Physician	$79.2K	$0
Jamie Hanson	MN	Dermatology Physician	$75.7K	$0
Joshua Woelk	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$30.5K	$0

Accord — Billing Profile & Reimbursement Data

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Accord — 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