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    OpenPayerNPI Medicare & MedicaidRamsey County Community Human Services
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    Ramsey County Community Human Services — Billing Profile & Reimbursement Data

    NPI 1811055957 · Saint Paul, MN · Public Health or Welfare Agency

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    Ramsey County Community Human Services is a public health or welfare agency provider located in Saint Paul, 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
    OrganizationRamsey County Community Human Services
    Address160 Kellogg Blvd E
    CitySaint Paul
    StateMN
    ZIP55101
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedDecember 4, 2006

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

    Payer SourceTotal Paid
    Medicaid$97.5M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively single‑payer from the claims data shown, with $97.5M in lifetime Medicaid revenue recorded. The absence of Medicare activity indicates that Medicaid programs are the primary — and practically exclusive — source of fee-for-service reimbursement in the dataset provided.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three codes (T2023, T1016, H0040) account for 99.5% of this provider's total Medicaid revenue. Specifically, T2023 represents $64.4M (66.1% of total Medicaid revenue), T1016 represents $25.7M (26.3%), and H0040 represents $6.9M (7.1%).

    The code mix — dominated by T2023 (Targeted case management; per month) and T1016 (Case management, each 15 minutes), with H0040 (Assertive community treatment program, per diem) as the third largest — indicates the organization operates primarily as a community behavioral‑health and case‑management service provider. High claim volumes for T1016 (347.1K claims, $74 avg paid/claim) and T2023 (89.8K claims, $718 avg paid/claim) reinforce that routine case management and monthly targeted case management are the operational core.

    On competitive standing for key codes, this provider is a statewide outlier on T2023: it ranks #1 of 192 providers (100th percentile; extreme outlier, far above typical state volume for this code), indicating dominant scale for monthly targeted case management in Minnesota. For T1016 the provider ranks #7 of 236 (97th percentile; notably above typical state volume for this code), signaling it is a major participant for per‑15‑minute case management. By contrast, H0040 ranks #26 of 38 (32th percentile; typical, unremarkable volume for this code), so the provider is not a leading statewide actor in assertive community treatment per diem services.

    Operational throughput is substantial: 347.1K claims for T1016 and 89.8K claims for T2023 indicate heavy sustained service delivery, while the average paid per claim differs markedly ($718 avg paid/claim for T2023 vs $74 avg paid/claim for T1016), which helps explain why T2023 drives two‑thirds of revenue despite lower claim counts. The disparity between claim counts and per‑claim payment levels underscores that revenue concentration is driven by both volume and unit price differences across codes.

    The provider is a long‑tenured public agency: taxonomy is Public Health or Welfare Agency and the NPI was enumerated 2006-12-04 (~20 years ago). This longevity, combined with the county name and the case‑management focus, is consistent with an established role delivering publicly funded social and behavioral health services at the county level.

    Smaller ancillary codes appear but contribute minimally to total Medicaid revenue: X5621 generated $333.3K (2.5K claims, $134 avg paid/claim) and ranks #3 of 17 providers in‑state (88th percentile; notably above typical state volume for this code), T2025 generated $92.9K (334 claims, $278 avg paid/claim) and ranks #10 of 15 (36th percentile; typical, unremarkable), and T2011 generated $29.1K (100 claims, $291 avg paid/claim) and ranks #1 of 2 (100th percentile; typical, unremarkable). These line items represent niche or ancillary services relative to the provider’s core case management revenue.

    Because 99.5% of Medicaid revenue is concentrated in the three codes led by T2023 and T1016, the provider’s financial profile is sensitive to reimbursement policy, program eligibility or utilization changes for these specific codes. Any material change in payment rates, coverage rules, or utilization patterns for T2023 or T1016 would likely have an outsized effect on the provider’s Medicaid receipts given the current code concentration.

    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
    T2023Targeted case management; per month89,760$720$64.4M
    T1016Case management, each 15 minutes347,120$70$25.7M
    H0040Assertive community treatment program, per diem19,710$350$6.9M
    X5621N/A2,490$130$333.3K
    T2025Waiver services; not otherwise specified (nos)330$280$92.9K
    T2011Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation100$290$29.1K

    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
    H0040Assertive community treatment program, per diem264025,290$200$5.8M
    T2023Targeted case management; per month11902,820$480$4.2M
    T1016Case management, each 15 minutes72401,870$50$1.9M
    T2025Waiver services; not otherwise specified (nos)1020890$80$489.6K
    X5621N/A320450$120$108.2K
    T2011Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation110100$190$18K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ramsey County Community Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramsey CountyMNPublic Health or Welfare Agency$0$9.8M

    Nearby Providers

    Other providers in the same ZIP code as Ramsey County Community Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    South Metro Human Services- TcmMNCase Management Agency$0$21.3M
    Regions HospitalMNEmergency Medicine Physician$0$15.1M
    South Metro Human Services-act PurpleMNCase Management Agency$0$10.9M
    South Metro Human Services-act BlueMNCase Management Agency$0$9.9M
    Specialized Treatment Services, Inc.MNMethadone Clinic$444.6K$6.4M
    Gillette Children's Specialty HealthcareMNMulti-Specialty Clinic/Center$0$5.4M
    Prasongchai SattayaprasertMNCardiovascular Disease Physician$238.9K$1.1K
    Wilfrido CastanedaMNDiagnostic Radiology Physician$151.2K$0
    Ryan KoeneMNClinical Cardiac Electrophysiology Physician$120K$0

    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
    Ramsey County Community Human Services — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota