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.

Zumbro Valley Health Center (NPI 1801961263)

Field	Value
Entity Type	Organization
Organization	Zumbro Valley Health Center
Address	343 Wood Lake Drive Se
City	Rochester
State	MN
ZIP	55904
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$36.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	30,640	$470	$14.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	45,840	$80	$3.8M
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…	37,770	$90	$3.4M
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…	17,470	$160	$2.8M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4,500	$590	$2.7M
H2035	Alcohol and/or other drug treatment program, per hour	29,160	$90	$2.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	8,400	$130	$1.1M
H0032	Mental health service plan development by non-physician	10,360	$100	$984.2K
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…	8,410	$100	$799K
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…	10,040	$80	$772.9K

Showing 1–10 of 32

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

Zumbro Valley 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	20	190	2,820	$480	$4.2M
H2035	Alcohol and/or other drug treatment program, per hour	49	280	5,980	$120	$3M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	27	60	4,380	$450	$2.6M
H2014	Skills training and development, per 15 minutes	119	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	21	230	6,320	$120	$2M
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…	201	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	36	130	1,640	$80	$599.5K
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…	823	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…	67	1,140	1,010	$100	$543K
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…	15	620	560	$80	$361.9K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elizabeth Thompson	MN	Clinical Social Worker	$21.7K	$0

Nearby Providers

Other providers in the same ZIP code as Zumbro Valley Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem River Bluffs, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$165.7M
Olmsted Medical Center	MN	General Acute Care Hospital	$0	$41.2M
Olmsted Medical Center	MN	Clinic/Center	$0	$22.2M
Rochester Pediatric Dentistry LLC	MN	Dental Clinic/Center	$0	$11.6M
Community Dental Care	MN	General Practice Dentistry	$0	$9M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.2M
County Of Olmsted	MN	Public Health or Welfare Agency	$0	$7.3M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$6.4M
Remjoy Special Tranportation Services LLC	MN	Non-emergency Medical Transport (VAN)	$0	$5.4M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$4.7M

Zumbro Valley Health Center — Billing Profile & Reimbursement Data

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Zumbro Valley 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