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.

Centracare Clinic (NPI 1689196339)

Field	Value
Entity Type	Organization
Organization	Centracare Clinic
Address	2000 23rd St S
City	Sartell
State	MN
ZIP	56377
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	July 14, 2017

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

104 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…	41,830	$60	$2.7M
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…	30,280	$50	$1.4M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,100	$80	$169.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	35,560	$1	$142.2K
T1013	Sign language or oral interpretive services, per 15 minutes	3,050	$40	$131.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4,790	$30	$129.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	8,460	$20	$126.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,390	$90	$121K
X5622	N/A	1,830	$60	$113.2K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	7,550	$10	$75.5K

Showing 1–10 of 104

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

Centracare Clinic — 1 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

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	49	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…	39	1,180	1,150	$80	$605.7K
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…	70	1,200	1,030	$70	$549.7K
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…	447	620	560	$80	$361.9K
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…	167	270	550	$70	$254.7K
90832	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…	120	340	300	$100	$209.2K
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…	152	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	83	310	810	$30	$166.5K
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…	98	240	610	$70	$165.5K
X5622	N/A	86	300	470	$60	$159.8K

Showing 1–10 of 104

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$20.8M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$19.3M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$6.9M
Centracare Health System - Long Prairie	MN	Rural Health Clinic/Center	$0	$6.9M
Joseph Wang	NY	Radiation Oncology Physician	$607.9K	$0
David Kruse	CA	Sports Medicine (Family Medicine) Physician	$442.6K	$0
Leah Thronaum	MN	Neurology Physician	$369.7K	$0
Rachel Schuneman	MN	Dermatology Physician	$256.4K	$0
Abigail Taylor	MN	Internal Medicine Physician	$249.6K	$0
Kathleen Rieke	MN	Neurology Physician	$229.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Central Lakes, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$122.1M
Sleep Therapy	MN	Durable Medical Equipment & Medical Supplies	$0	$11.6M
Northway Academy, Inc.	MN	Community/Behavioral Health Agency	$0	$10.5M
Dale Reynolds	MN	Ophthalmology Physician	$5.6M	$0
Foundations Autism Center LLC	MN	Adolescent and Children Mental Health Clinic/Center	$0	$4.7M
Regional Diagnostic Radiology	MN	Diagnostic Radiology Physician	$0	$4.4M
Vamsi Gullapalli	MN	Ophthalmology Physician	$380.4K	$17.4K
Charles Cunningham	MN	Diagnostic Radiology Physician	$256.8K	$0
Barry Labine	MN	Dermatology Physician	$201.4K	$0
Mats Liden	MN	Diagnostic Radiology Physician	$172.4K	$0

Centracare Clinic — Billing Profile & Reimbursement Data

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Centracare Clinic — 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