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.

Emergency Care Consultants, PA (NPI 1669422788)

Key Findings

Field	Value
Entity Type	Organization
Organization	Emergency Care Consultants, PA
Address	2829 University Ave Se Ste 730
City	Minneapolis
State	MN
ZIP	55414
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$40M
Medicare	$0

EMERGENCY CARE CONSULTANTS, PA appears to operate as an emergency medicine-focused practice: the Medicaid billing mix is overwhelmingly for emergency department E/M and related acute-care services (notably 99285, 99284, 99283 and critical-care codes such as 99291/99292), indicating the group provides high-volume ED evaluation and acute critical-care management rather than longitudinal outpatient primary care or procedural subspecialty services. The presence of procedure codes like 93010 (ECG interpretation) and various simple wound repair codes (12001, 12011, 12002, 10060/10061) further supports an ED-centered service line that handles both medical emergencies and minor surgical procedures on-site.

Revenue concentration is highly focused: the top 3 Medicaid codes by revenue (99285, 99284, 99283) account for 94.0% of the provider’s total Medicaid revenue, with 99285 alone representing $22.8M (57.0% of Medicaid revenue). This level of concentration indicates that adult and pediatric high- and moderate-complexity ED visits are the primary revenue drivers for the organization.

This provider is effectively single-payer in scope for the available data: there is no Medicare billing on file while Medicaid revenue totals $40M, so the practice’s documented revenue base is dominated by Medicaid. Analysts should treat the entity as a Medicaid-centric emergency practice when modeling payer mix, reimbursement risk, or access to adult/child Medicaid populations in Minneapolis, MN.

Competitive standing within the state shows exceptional volume for core ED codes: the provider ranks #2 of 160 for 99285 and #3 of 206 for 99284, both in the 99th percentile and described as extreme outliers, indicating the group is a major statewide provider of high- and moderate-complexity ED visits and far exceeds typical state volumes for these codes. For 99283 the provider ranks #8 of 218 (97th percentile; notably above typical state volume), reinforcing a market position concentrated on high throughput of ED E/M services.

Critical care and ancillary service volumes are present but more typical: 99291 critical care services generated $1.5M (3.9% of Medicaid revenue) and ranks #7 of 48 in-state (87th percentile; labelled typical), while add-on code 99292 shows modest use ($46.4K, 0.1% of Medicaid revenue). ECG interpretation 93010 is an outlier in volume (143.2K claims, $572.7K revenue) and ranks #3 of 143 in-state (99th percentile), consistent with very high ED visit volumes driving frequent routine ECGs.

Operational signals in utilization flags show extensive documentation activity that does not generate payment (e.g., 99053, G9744, G8952, G8783 all with $0 paid and the provider ranking at or near #1 in-state for those codes). These zero-paid codes likely reflect non-billable facility/quality or encounter-status entries tied to ED workflows and are consistent with large patient volumes rather than additional revenue streams.

Provider tenure is long-standing: the NPI was enumerated on 2006-05-11 (approximately 20 years ago), indicating the practice has an established presence in the market and a long operational history that aligns with its high cumulative Medicaid billing. This longevity supports the interpretation that the observed high volumes are stable and institutionally embedded rather than brief or new activity.

Given the extreme concentration in a few ED E/M codes and very limited diversity of revenue sources in the Medicaid file, financial or operational analyses should model sensitivity to changes in reimbursement or utilization for 99285 and 99284 specifically. Any payment policy shifts, prior authorization, or care-appropriateness initiatives targeting high-level ED visits would materially affect this provider’s Medicaid revenue stream.

Medicaid: Complete Services Breakdown

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

22 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.	256,280	$90	$22.8M
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.	201,110	$60	$12.9M
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.	63,490	$30	$2M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	15,130	$100	$1.5M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	143,170	$1	$572.7K
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.	6,910	$20	$138.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	420	$110	$46.4K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	1,380	$20	$31.6K
64400	The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches —…	590	$30	$15.4K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	100	$120	$11.4K

Showing 1–10 of 22

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

Emergency Care Consultants, PA — 4 of 16 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	2	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.	3	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.	8	220	1,730	$120	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7	50	310	$130	$678K
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.	16	150	500	$110	$293.1K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	7	20	190	$50	$163.2K
X5622	N/A	174	300	470	$60	$159.8K
64400	The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches —…	3	10	590	$80	$91K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	40	50	160	$30	$52.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3	140	650	$1	$47.8K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yun Chau Lee	MN	Emergency Medicine Physician	$112.5K	$316.1K
John Murphy	WI	Family Medicine Physician	$202.9K	$320
Andrea Weiers	MN	Emergency Medicine Physician	$91.1K	$0
Leah Patullo	MN	Emergency Medicine Physician	$82.4K	$0
Kris Drevlow	MN	Family Medicine Physician	$58.4K	$0
Brian Schroeder	MN	Emergency Medicine Physician	$54.4K	$0
Thomas Bergman	MN	Physician Assistant	$48K	$0
Paul Satterlee	MN	Emergency Medicine Physician	$37.4K	$0
Taylor Fredrickson	MN	Physician Assistant	$25.7K	$0
Mary Wangen	MN	Physician Assistant	$20K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fraser Child And Family Center	MN	Adolescent and Children Mental Health Clinic/Center	$0	$149.8M
Premier Biotech Labs, LLC	MN	Clinical Medical Laboratory	$416.7K	$41.4M
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

Emergency Care Consultants, PA — Billing Profile & Reimbursement Data

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Emergency Care Consultants, PA — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References