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.

Lake Superior Community Health Center (NPI 1699708297)

Field	Value
Entity Type	Organization
Organization	Lake Superior Community Health Center
Address	4325 Grand Ave
City	Duluth
State	MN
ZIP	55807
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0140	Limited oral evaluation – problem focused	15,780	$230	$3.7M
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…	10,810	$170	$1.9M
D0120	Periodic oral evaluation - established patient	8,970	$210	$1.8M
D0150	Comprehensive oral evaluation – new or established patient	5,040	$240	$1.2M
D5899	N/A	4,380	$200	$885.2K
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…	4,140	$170	$716.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,230	$80	$650.2K
D2392	Post 2 surface resin‑based composite	4,040	$140	$574K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,230	$160	$522.6K
D2391	Resin‑based composite – one surface, posterior	3,900	$130	$491.1K

Showing 1–10 of 52

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

Lake Superior Community Health Center — 2 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	538	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…	213	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	870	1,140	1,010	$100	$543K
T1015	Clinic visit/encounter, all-inclusive	20	40	270	$290	$387.5K
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…	131	620	560	$80	$361.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18	240	730	$100	$243.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	102	120	320	$140	$221.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	10	20	410	$80	$212.2K
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…	134	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…	383	420	230	$90	$186.2K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake Superior Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Superior Community Health Center	WI	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lake Superior Community Health Center	WI	Federally Qualified Health Center (FQHC)	$0	$4.2M
Emily Anderson	WI	Family Medicine Physician	$3.4K	$0
Adam Wennersten	WI	Physician Assistant	$3.3K	$0
Jacob Oestreich	MN	Family Medicine Physician	$2.3K	$0
Nicole Shockley	MN	Nurse Practitioner	$2K	$0

Nearby Providers

Other providers in the same ZIP code as Lake Superior Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwood Children's Home Society Inc	MN	Community/Behavioral Health Agency	$0	$25.3M
Walgreen Co	MN	Pharmacy	$164.5K	$330

Lake Superior Community Health Center — Billing Profile & Reimbursement Data

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Lake Superior Community Health Center — 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