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.

Planned Parenthood Minnesota, North Dakota, South Dakota (NPI 1629057146)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Minnesota, North Dakota, South Dakota
Address	671 Vandalia Street
City	Saint Paul
State	MN
ZIP	55114
Taxonomy	Non-Surgical Family Planning Clinic/Center
NPI Enumerated	January 12, 2006

Payer Source	Total Paid
Medicaid	$38.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S4993	Contraceptive pills for birth control	111,400	$100	$10.8M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3,940	$1,050	$4.1M
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…	39,800	$60	$2.3M
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…	25,230	$90	$2.1M
J1050	Injection, medroxyprogesterone acetate, 1 mg	21,840	$90	$2M
J8499	Prescription drug, oral, non chemotherapeutic, nos	22,840	$70	$1.5M
J7304	Contraceptive supply, hormone containing patch, each	4,060	$360	$1.5M
J7303	Contraceptive supply, hormone containing vaginal ring, each	4,630	$310	$1.4M
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	49,600	$30	$1.4M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	40,540	$30	$1.2M

Showing 1–10 of 60

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

Planned Parenthood Minnesota, North Dakota, South Dakota — 17 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

60 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7304	Contraceptive supply, hormone containing patch, each	1	10	4,060	$360	$1.5M
S4993	Contraceptive pills for birth control	1	10	880	$100	$953.4K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1	10	260	$900	$836.6K
J7303	Contraceptive supply, hormone containing vaginal ring, each	1	10	2,330	$310	$725.3K
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…	85	1,180	1,150	$80	$605.7K
J7297	Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg	1	10	770	$780	$601.5K
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…	52	1,200	1,030	$70	$549.7K
J7300	Intrauterine copper contraceptive (paragard)	1	10	430	$950	$410.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	3	10	460	$820	$324.2K
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	1	10	710	$30	$289.1K

Showing 1–10 of 60

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Minnesota, North Dakota, South Dakota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katrina Gabelko	MN	Nurse Practitioner	$41.5K	$0
Amanika Kumar	MN	Gynecologic Oncology Physician	$32.8K	$0
Mary Tolsma	MN	Physician Assistant	$23.1K	$0
Akia Smith	MN	Women's Health Nurse Practitioner	$13.9K	$0
Amanda Ross	MN	Physician Assistant	$11.2K	$0
Jennifer Houwman	SD	Physician Assistant	$9K	$0
Nicole Shockley	MN	Nurse Practitioner	$2K	$0
Kimberly Sebo	MN	Women's Health Nurse Practitioner	$1.1K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Minnesota, North Dakota, South Dakota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Activstyle, LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$219.4M
Handi Medical Supply, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$43.3M
Mental Health Resources, Inc.	MN	Community/Behavioral Health Agency	$0	$30.8M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Carefocus Corporation	MN	Home Health Agency	$0	$12.2M
Metro Psychology Support Services, Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Minnesota Oncology Hematology, PA	MN	Hematology & Oncology Physician	$0	$8.1M
Psych Recovery Inc	MN	Psychiatry Physician	$0	$4.6M
Patrick Oreilly	MN	Gastroenterology Physician	$174K	$0
Jeffrey Rank	MN	Gastroenterology Physician	$170.6K	$0

Planned Parenthood Minnesota, North Dakota, South Dakota — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Minnesota, North Dakota, South Dakota — Billing Profile & Reimbursement Data policy alerts

Planned Parenthood Minnesota, North Dakota, South Dakota — 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