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.

Essentia Health Virginia, LLC (NPI 1881144970)

Field	Value
Entity Type	Organization
Organization	Essentia Health Virginia, LLC
Address	2501 Keenan Dr
City	International Falls
State	MN
ZIP	56649
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 12, 2016

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	23,030	$130	$2.9M
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…	19,020	$130	$2.5M
X5622	N/A	890	$150	$135K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	740	$80	$55.6K
99441	N/A	260	$60	$15.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	220	$40	$9.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	270	$30	$7.6K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	680	$10	$6.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	160	$40	$6.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	110	$50	$5.8K

Showing 1–10 of 65

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

Essentia Health Virginia, LLC — 0 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	95	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…	125	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…	150	270	550	$70	$254.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	72	100	590	$40	$202.6K
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…	356	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	140	310	810	$30	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	112	240	610	$70	$165.5K
X5622	N/A	126	300	470	$60	$159.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	127	200	720	$60	$155.4K
0241U	N/A	92	110	200	$120	$113.4K

Showing 1–10 of 65

Related Providers

Other providers that share a Tax Identification Number (TIN) with Essentia Health Virginia, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
John Thompson	MD	Ophthalmology Physician	$3.9M	$0
Kim Ogle	WI	Internal Medicine Physician	$211.8K	$0
Traci Rogers	MN	Family Nurse Practitioner	$130.1K	$0
Julia Montgomery	MN	Clinical Cardiac Electrophysiology Physician	$129K	$0
Brianne Sable	WI	Physician Assistant	$121.5K	$0
Michael Rich	MN	Cardiovascular Disease Physician	$98.5K	$0
Margaret Chen	MN	Internal Medicine Physician	$94.7K	$0
Dimitrios Giannakidis	TN	Neurology Physician	$78.8K	$0
John Anderson	KS	Clinical Cardiac Electrophysiology Physician	$76.8K	$0

Nearby Providers

Other providers in the same ZIP code as Essentia Health Virginia, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northland Counseling Center Kooch Office	MN	Community/Behavioral Health Agency	$0	$5M
City Of International Falls	MN	Land Ambulance	$339.6K	$536K
Luke Nemec	MN	Chiropractor	$20.5K	$0

Essentia Health Virginia, LLC — Billing Profile & Reimbursement Data

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Essentia Health Virginia, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References