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.

Mankato Clinic Ltd (NPI 1629044029)

Field	Value
Entity Type	Organization
Organization	Mankato Clinic Ltd
Address	1230 E Main St
City	Mankato
State	MN
ZIP	56001
Taxonomy	Family Medicine Physician
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$39.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

307 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	153,490	$70	$11.1M
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…	112,500	$50	$5.5M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	27,140	$70	$1.8M
97530	The 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.	27,330	$50	$1.4M
99337	N/A	14,720	$80	$1.2M
92507	The 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…	23,660	$50	$1.2M
X5622	N/A	12,380	$80	$1M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	34,010	$30	$884.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8,420	$90	$716K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,060	$70	$588.6K

Showing 1–10 of 307

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

Mankato Clinic Ltd — 14 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

307 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	28	210	560	$60	$822.1K
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…	5	1,180	1,150	$80	$605.7K
92507	The 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…	15	110	1,880	$50	$564.6K
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…	6	1,200	1,030	$70	$549.7K
99337	N/A	2	10	120	$70	$544.6K
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…	212	1,140	1,010	$100	$543K
J0585	Injection, onabotulinumtoxina, 1 unit	12	20	350	$560	$492.3K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	16	20	60	$960	$469.8K
97530	The 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.	17	260	890	$60	$405.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	84	620	560	$80	$361.9K

Showing 1–10 of 307

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mankato Clinic Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Suresh Devineni	MN	Hematology & Oncology Physician	$673.3K	$0
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Nataliya Danylkova	MN	Ophthalmology Physician	$434.1K	$0
Jason Steinle	MN	Diagnostic Radiology Physician	$353.5K	$0
Donald Davis	MN	Dermatology Physician	$353K	$0
Aaron Gould	IL	Diagnostic Radiology Physician	$126.2K	$209.3K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Lisa Davidson	MN	Neurology Physician	$307.4K	$0
Kyle Swanson	MN	Orthopaedic Surgery Physician	$286.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habilitative Services, LLC	MN	Community/Behavioral Health Agency	$0	$134M
Mayo Clinic Health System-southwest Minnesota Region	MN	General Acute Care Hospital	$0	$28.5M
Mayo Clinic Health System-southwest Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$24.3M
Open Door Health Center	MN	Federally Qualified Health Center (FQHC)	$0	$13.5M
County Of Blue Earth	MN	Case Management Agency	$0	$10.8M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$8.8M
Ms-ac Mankato Ag Senior Living LLC	MN	Assisted Living Facility	$0	$8.3M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
Adult, Child & Family Services, LLC	MN	Psychologist	$0	$5.2M
Pediatric And Adolescent Dentistry	MN	Pediatric Dentistry	$0	$5.1M

Mankato Clinic Ltd — Billing Profile & Reimbursement Data

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Mankato Clinic Ltd — 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