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.

Grand Itasca Clinic And Hospital (NPI 1669426631)

Grand Itasca Clinic And Hospital is a general acute care hospital provider located in Grand Rapids, Minnesota. This profile covers 0 Medicare and 195 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Grand Itasca Clinic And Hospital
Address	1601 Golf Course Rd
City	Grand Rapids
State	MN
ZIP	55744
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

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

195 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	116,280	$90	$9.9M
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.	10,690	$270	$2.9M
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.	16,580	$160	$2.6M
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…	69,230	$30	$2.1M
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.	25,630	$80	$1.9M
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…	40,420	$50	$1.8M
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…	8,280	$60	$480.2K
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…	3,530	$80	$278.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,150	$130	$269K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	3,630	$70	$235.8K

Showing 1–10 of 195

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

Grand Itasca Clinic And Hospital — 4 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

195 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	13	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.	29	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.	34	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.	20	220	1,730	$120	$1.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	120	400	$60	$685.8K
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…	41	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…	87	110	1,880	$50	$564.6K
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.	46	100	510	$40	$560.8K
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…	19	1,200	1,030	$70	$549.7K
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…	18	20	60	$960	$469.8K

Showing 1–10 of 195

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Sathish Kumar Cullath Harikrishnan	IL	Hospitalist Physician	$153.6K	$200.1K
Ashley Anderson	MN	Diagnostic Radiology Physician	$279.7K	$0
Benjamin Meyer	MN	Diagnostic Radiology Physician	$255.9K	$0
Landon Brown	NY	Adult Reconstructive Orthopaedic Surgery Physician	$245.8K	$40
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0
Assefa Ayalew	MN	Diagnostic Radiology Physician	$239.7K	$0
Jacob Waxman	MN	Diagnostic Radiology Physician	$231.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northland Counseling Center, Inc.	MN	Community/Behavioral Health Agency	$0	$22.2M
North Homes, Inc.	MN	Community/Behavioral Health Agency	$0	$21.5M
Lakeview Behavioral Health Inc.	MN	Community/Behavioral Health Agency	$0	$16M
Brookstone Manor, Inc.	MN	Assisted Living Facility	$0	$14.3M
Ind School District 318	MN	Local Education Agency (LEA)	$0	$8.3M
Northland Counseling Center, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$4.9M
Meds-1 Ambulance Service Inc	MN	Land Ambulance	$998.3K	$2.8M
Guardian Flight LLC	MN	Air Ambulance	$278.2K	$0
Guardian Flight LLC	MN	Air Ambulance	$260.9K	$0
Thrifty Drug Stores Inc	MN	Community/Retail Pharmacy	$126.6K	$100.2K

Grand Itasca Clinic And Hospital — Billing Profile & Reimbursement Data

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Grand Itasca Clinic And 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

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