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.

Waconia Ops. LLC (NPI 1851505853)

Field	Value
Entity Type	Organization
Organization	Waconia Ops. LLC
Address	500 S Cherry St
City	Waconia
State	MN
ZIP	55387
Taxonomy	Assisted Living Facility
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	31,540	$150	$4.7M

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

Waconia Ops. LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	72	340	10,410	$170	$3.9M

Nearby Providers

Other providers in the same ZIP code as Waconia Ops. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ridgeview Medical Center	MN	General Acute Care Hospital	$0	$19.6M
Sunnydays Therapy Inc	MN	Occupational Therapist	$0	$10.6M
Carver County	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.8M
Northern Lights Health LLC	MN	Primary Care Nurse Practitioner	$0	$7.6M
Ridgeview Medical Center	MN	Diagnostic Radiology Physician	$0	$7.1M
Stephanie Childs	MN	Radiation Oncology Physician	$714.6K	$0
Melissa Hill	MN	Family Nurse Practitioner	$619K	$0
Christopher Meyer	MN	Sports Medicine (Orthopaedic Surgery) Physician	$187.4K	$0
Kamruz Darabi	MN	Dermatology Physician	$162K	$0
Todd Holcomb	MN	Internal Medicine Physician	$122.3K	$0

Waconia Ops. LLC — Billing Profile & Reimbursement Data

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Waconia Ops. LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References