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.

Mayo Clinic Hospital-rochester (NPI 1841266194)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Hospital-rochester
Address	1216 2nd St Sw
City	Rochester
State	MN
ZIP	55902
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 27, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,880	$380	$5.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	12,530	$190	$2.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,990	$260	$1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4,650	$80	$385.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,600	$170	$270.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,610	$100	$252.7K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	880	$250	$218.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	21,380	$10	$192.4K
G0378	Hospital observation service, per hour	3,250	$40	$139.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20,410	$10	$102K

Showing 1–10 of 124

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

Mayo Clinic Hospital-rochester — 3 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

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	45	80	6,550	$80	$4.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	24	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	73	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	43	220	1,730	$120	$1.3M
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…	1,148	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…	868	1,200	1,030	$70	$549.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	39	150	500	$110	$293.1K
G0378	Hospital observation service, per hour	3	20	400	$140	$266.4K
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…	73	270	550	$70	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	37	120	650	$50	$225.2K

Showing 1–10 of 124

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Multi-Specialty Clinic/Center	$0	$74.3M
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$13.7M
Robert Jacobson	MN	Pediatrics Physician	$975.6K	$0
Mojun Zhu	AZ	Hematology & Oncology Physician	$947.4K	$0
Timothy Hobday	MN	Medical Oncology Physician	$931.3K	$0
Lionel Aurelien Kankeu Fonkoua	MN	Medical Oncology Physician	$899.8K	$0
Matthew Block	MN	Medical Oncology Physician	$820.5K	$0
Ron Smith	MN	Radiation Oncology Physician	$806K	$0
Julian Molina	MN	Medical Oncology Physician	$773.4K	$0

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Hospital-rochester, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochester Independent School District No. 535	MN	Local Education Agency (LEA)	$0	$27.8M
Mayo Clinic	MN	Air Ambulance	$2.6M	$8.7M
The Gables LLC	MN	Substance Abuse Rehabilitation Facility	$0	$4.7M
Hy-vee Inc	MN	Community/Retail Pharmacy	$135.3K	$60
Anastasia Albers	MN	Occupational Therapist	$66.1K	$0
Jeffrey Bennett	MN	Optometrist	$43.7K	$0
Alicia Minnis	MN	Gerontology Nurse Practitioner	$31K	$0
Yoojung Butler	MN	Certified Registered Nurse Anesthetist	$11.6K	$0

Mayo Clinic Hospital-rochester — Billing Profile & Reimbursement Data

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Mayo Clinic Hospital-rochester — 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