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.

Valley Pain Relief And Wellness Center, PLLC (NPI 1871915470)

Valley Pain Relief And Wellness Center, PLLC is a pain medicine (physical medicine & rehabilitation) physician provider located in Burnsville, Minnesota. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Valley Pain Relief And Wellness Center, PLLC
Address	2428 E 117th St
City	Burnsville
State	MN
ZIP	55337
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	January 16, 2014

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20,450	$120	$2.5M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14,750	$150	$2.2M
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…	31,690	$60	$1.9M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8,670	$130	$1.1M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	45,690	$10	$411.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,120	$90	$382.9K
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…	6,530	$50	$320K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	1,950	$70	$132.3K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	700	$130	$89.3K
U0005	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, cdc or non-cdc,…	2,530	$20	$58.1K

Showing 1–10 of 27

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

Valley Pain Relief And Wellness Center, PLLC — 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	10	3,220	$110	$2.2M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4	10	2,200	$120	$1.3M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4	10	1,590	$100	$1.2M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	3	10	370	$70	$777K
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…	61	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…	303	1,200	1,030	$70	$549.7K
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…	112	270	550	$70	$254.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	420	230	$90	$186.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	160	200	$50	$119.6K
99203	The provider sees a new 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 provider…	183	450	140	$60	$101.3K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amanda Kohl	MN	Pain Medicine Physician	$116.7K	$0
Sujit Varma	MN	Psychiatry Physician	$109.5K	$1.8K
Sivilai Vang	MN	Family Nurse Practitioner	$93.4K	$0
Abigail Spilman	MN	Physician Assistant	$74.6K	$0
Christina Truong	MN	Physician Assistant	$74.3K	$0
Lindsay Bergstreser	MN	Pain Medicine Physician	$68K	$0
Crystal Rudell	MN	Nurse Practitioner	$65.1K	$0
Lauren Erickson	MN	Family Nurse Practitioner	$46.9K	$0
Lenore Everson	MN	Addiction Medicine (Preventive Medicine) Physician	$42.8K	$0
Katrina Gabelko	MN	Nurse Practitioner	$41.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Lodges Company	MN	Assisted Living Facility	$0	$39.1M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Ind School District 191	MN	Local Education Agency (LEA)	$0	$13.1M
Mental Health Resources, Inc.	MN	Case Management Agency	$0	$12.8M
Community Drug & Alcohol Services Inc	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
Mercy Link, LLC	MN	Home Health Agency	$0	$9.9M
Professional Portable Radiologic Services, Inc.	MN	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$6.2M
Augustana Emerald Care LLC	MN	Assisted Living Facility	$0	$5.8M
Fairview Clinics	MN	Primary Care Clinic/Center	$0	$4.7M
County Of Dakota	MN	Ambulance	$514.4K	$4M

Valley Pain Relief And Wellness Center, PLLC — Billing Profile & Reimbursement Data

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Valley Pain Relief And Wellness Center, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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