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    OpenPayerNPI Medicare & MedicaidPark Ave Center Inc
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    Park Ave Center Inc — Billing Profile & Reimbursement Data

    NPI 1720154081 · Minneapolis, MN · Substance Use Disorder Rehabilitation Clinic/Center

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    Park Ave Center Inc is a substance use disorder rehabilitation clinic/center provider located in Minneapolis, Minnesota. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPark Ave Center Inc
    Address2318 Park Ave
    CityMinneapolis
    StateMN
    ZIP55404
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedNovember 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$50.8M
    Medicare$0

    Key Findings

    This provider is effectively single-payer at the federal level: Medicare revenue is listed as none, while total Medicaid revenue is $50.8M, indicating its entire documented lifetime public-billing footprint is on Medicaid rather than Medicare. Analysts should treat Medicaid as the dominant and only recorded public payer when modeling payer mix or market exposure for this entity.

    Revenue is extremely concentrated in a narrow set of service codes: the precomputed top three Medicaid codes account for 99.5% of this provider's total Medicaid revenue. In particular, H2035 alone generates $47.8M (93.9% of Medicaid revenue) and H0001 contributes $2.6M (5.2%), so capacity and reimbursement for these specific service lines will drive most financial performance.

    The operational profile implied by the code mix aligns with intensive substance-use treatment services. H2035 (Alcohol and/or other drug treatment program, per hour) dominance and the sizable H0001 (Alcohol and/or drug assessment) volume indicate the provider bills heavily for hourly treatment programming and initial/ongoing assessments consistent with a Substance Use Disorder Rehabilitation Clinic/Center.

    Competitive standing for the provider in the state is dominant on its two top codes: H2035 ranks #2 of 276 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and H0001 ranks #1 of 191 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rank/percentile signals indicate the provider is a major statewide player for core SUD treatment and assessment services.

    Several ancillary service lines appear modest by comparison and show typical in-state participation. H0038 (Self-help/peer services, per 15 minutes) produced $174.5K (0.3% of Medicaid revenue) and ranks #32 of 128 providers (76th percentile), while T1016 (Case management, each 15 minutes) produced $136.7K (0.3%) and ranks #76 of 236 providers (68th percentile); both are described as typical, unremarkable volumes for those codes in-state.

    Clinical support services such as drug testing are present but immaterial to overall revenue: 80307 generated $118.1K (0.2% of Medicaid revenue) and ranks #28 of 101 providers (73th percentile), and G0481 shows $8.1K (0.0% of Medicaid revenue) and ranks #8 of 14 providers (46th percentile). These entries indicate the provider performs laboratory testing as part of care delivery, but testing revenues are a small fraction of total Medicaid receipts.

    The provider has long operational tenure based on NPI enumeration: NPI enumerated (registered) 2006-11-28 (~20 years ago). That duration combined with the concentrated Medicaid footprint suggests an established, Medicaid-focused SUD program rather than a recent market entrant.

    For payers and network analysts, the combination of extreme concentration in H2035 and H0001 and the 99.5% revenue share of the top three codes signals that utilization changes, capacity constraints, or rate changes for these specific codes would disproportionately impact the provider's Medicaid revenue. Conversely, lack of Medicare billing removes exposure to Medicare rate-setting and policy shifts from the provider's current public-billing profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2035Alcohol and/or other drug treatment program, per hour329,390$150$47.8M
    H0001Alcohol and/or drug assessment20,510$130$2.6M
    H0038Self‑help/peer services, per 15 minutes4,720$40$174.5K
    T1016Case management, each 15 minutes9,110$20$136.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2,150$60$118.1K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…280$30$8.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2035Alcohol and/or other drug treatment program, per hour22805,980$120$3M
    T1016Case management, each 15 minutes762401,870$50$1.9M
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…8101,590$100$1.2M
    H0038Self‑help/peer services, per 15 minutes321301,640$80$599.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.28100510$40$560.8K
    H0001Alcohol and/or drug assessment1190220$140$158.2K

    Nearby Providers

    Other providers in the same ZIP code as Park Ave Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nu-way House IncMNSubstance Abuse Rehabilitation Facility$0$200.8M
    Childrens Health CareMNChildren's Hospital$0$100M
    Midwest Home Health Care, Inc.MNHome Health Agency$0$73.5M
    Midwest Quality Home Care, Inc.MNHome Health Agency$0$66.7M
    Regents Of The University Of MinnesotaMNFederally Qualified Health Center (FQHC)$0$55.2M
    Minnesota Professional Health Services,incMNHome Health Agency$0$51.9M
    Minnesota Quality Care, Inc.MNHome Health Agency$0$48.4M
    Direct Home Health Care, Inc.MNHome Health Agency$0$30.7M
    Aaa A-z Friendly Languages IncMNInterpreter$0$29.4M
    Comfort Services LLCMNHome Health Agency$0$29.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Park Ave Center Inc — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota