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.

Open Door Health Center (NPI 1891740908)

Field	Value
Entity Type	Organization
Organization	Open Door Health Center
Address	309 Holly Ln
City	Mankato
State	MN
ZIP	56001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	18,760	$200	$3.7M
D0140	Limited oral evaluation – problem focused	12,850	$180	$2.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,940	$270	$1.6M
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…	5,410	$170	$908.7K
D2392	Post 2 surface resin‑based composite	6,270	$130	$840.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,740	$210	$777.7K
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…	3,010	$260	$767K
D0150	Comprehensive oral evaluation – new or established patient	3,390	$190	$657.5K
D2391	Resin‑based composite – one surface, posterior	4,600	$120	$551.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,750	$90	$239.3K

Showing 1–10 of 54

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

Open Door Health Center — 2 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

54 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…	316	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…	429	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	209	1,140	1,010	$100	$543K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	141	620	560	$80	$361.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	55	240	730	$100	$243.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	21	20	410	$80	$212.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	110	340	300	$100	$209.2K
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…	283	420	230	$90	$186.2K
D5899	N/A	3	20	400	$210	$180K
D2392	Post 2 surface resin‑based composite	22	270	540	$90	$161.5K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Open Door Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Pucik	MN	Family Medicine Physician	$109.2K	$0
Michael Muchiri	MN	Nurse Practitioner	$65.3K	$0
Angela Ristau	MN	Family Nurse Practitioner	$560	$0

Nearby Providers

Other providers in the same ZIP code as Open Door Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habilitative Services, LLC	MN	Community/Behavioral Health Agency	$0	$134M
Mankato Clinic Ltd	MN	Family Medicine Physician	$0	$39.2M
Mayo Clinic Health System-southwest Minnesota Region	MN	General Acute Care Hospital	$0	$28.5M
Mayo Clinic Health System-southwest Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$24.3M
County Of Blue Earth	MN	Case Management Agency	$0	$10.8M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$8.8M
Ms-ac Mankato Ag Senior Living LLC	MN	Assisted Living Facility	$0	$8.3M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
Adult, Child & Family Services, LLC	MN	Psychologist	$0	$5.2M
Pediatric And Adolescent Dentistry	MN	Pediatric Dentistry	$0	$5.1M

Open Door Health Center — Billing Profile & Reimbursement Data

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Open Door Health Center — 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