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.

Park Nicollet Methodist Hospital (NPI 1649220724)

Field	Value
Entity Type	Organization
Organization	Park Nicollet Methodist Hospital
Address	6500 Excelsior Blvd
City	St Louis Park
State	MN
ZIP	55426
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$17.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	14,450	$400	$5.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	47,560	$70	$3.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8,130	$280	$2.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,340	$190	$1.4M
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	36,920	$20	$775.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	54,740	$10	$383.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	4,030	$80	$310.2K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	33,420	$10	$267.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	4,940	$50	$227.2K
0241U	N/A	1,580	$120	$195.9K

Showing 1–10 of 138

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

Park Nicollet Methodist Hospital — 10 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	69	80	6,550	$80	$4.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	22	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	51	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	70	220	1,730	$120	$1.3M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	54	100	510	$40	$560.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	145	150	500	$110	$293.1K
G0378	Hospital observation service, per hour	20	20	400	$140	$266.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	4	270	550	$70	$254.7K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	26	30	100	$120	$227.6K
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…	29	120	650	$50	$225.2K

Showing 1–10 of 138

Related Providers

Other providers that share a Tax Identification Number (TIN) with Park Nicollet Methodist Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Methodist Health, Inc.	KY	General Acute Care Hospital	$0	$51M
Tria Orthopaedic Center LLC	MN	Orthopaedic Surgery Physician	$0	$7.3M
Mehdi Najafi	MA	Ophthalmology Physician	$1.8M	$0
Marni Feldmann	MN	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Yang Liu	MN	Hematology & Oncology Physician	$1.4M	$0
Elizabeth Miller	MN	Rheumatology Physician	$1.3M	$0
Bethel Averbeck	MN	Internal Medicine Physician	$1.2M	$0
Jason Fogg	KY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$1.2M	$0

Nearby Providers

Other providers in the same ZIP code as Park Nicollet Methodist Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Clinics, LLC	MN	Psychologist	$0	$13.9M
Por, LLC	MN	Case Management Agency	$0	$10.9M
Medway Support Services. LLC	MN	Health Maintenance Organization	$0	$10.2M
Hoy & Associates Inc.	MN	Community/Behavioral Health Agency	$0	$9.5M
Behavioral Dimensions, Inc.	MN	Cognitive & Behavioral Psychologist	$0	$8.6M
Kaire LLC	MN	Community/Behavioral Health Agency	$0	$8.2M
Sholom Community Alliance Home Health Care	MN	Home Health Agency	$0	$6.7M
Melissa Sherman	MN	Internal Medicine Physician	$625.1K	$0
Turang Behbahani	MN	Hematology & Oncology Physician	$613.9K	$0
Karen Rabenau	MN	Hematology & Oncology Physician	$312.7K	$0

Park Nicollet Methodist Hospital — Billing Profile & Reimbursement Data

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Park Nicollet Methodist Hospital — 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