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 (NPI 1922074434)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mayo Clinic
Address	200 1st St Sw
City	Rochester
State	MN
ZIP	55905
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$74.3M
Medicare	$0

This entity is effectively a Medicaid-only biller in the available data: there is no Medicare billing on file while total reported Medicaid revenue is $74.3M. Analysts should treat payer comparisons accordingly, because Medicare-derived benchmarking is not possible from these records and the provider’s revenue exposure appears concentrated in state Medicaid dollars.

Revenue concentration is notable but not singularly dominant: the precomputed top three Medicaid codes (99214, 99233, 99285) account for 30.7% of the provider’s Medicaid revenue. Specifically, 99214 generated $5.8M (12.0%), 99233 generated $4.5M (9.4%), and 99285 generated $4.5M (9.3%), indicating a substantial share of revenue comes from high-volume E/M services.

The code mix points to a large, integrated multi-specialty operation with heavy inpatient, emergency, and complex outpatient activity. High-revenue E/M codes and inpatient subsequent care codes such as 99232 (120.1K claims, $4.1M revenue, 8.4%) and initial inpatient codes like 99223 ($1.6M, 3.3%) combine with advanced diagnostics (74177 $1.7M; 70553 $1.0M) and pathology (88305 $1.0M) to reflect broad service lines spanning acute inpatient, ED, imaging, and subspecialty outpatient care.

The provider is a dominant statewide participant on many high-revenue Medicaid codes: several codes are flagged as extreme outliers or at the top of state rankings. Examples include 99214 (rank #11 of 1,177; 99th percentile, extreme outlier), 99232 (rank #3 of 172; 99th percentile, extreme outlier), 99215 (rank #5 of 424; 99th percentile, extreme outlier), and 99231 (rank #1 of 67; 100th percentile, extreme outlier), which together indicate market-leading volume for core E/M services in Minnesota.

Claim volumes show very high throughput across multiple E/M levels and settings, signaling operational scale. For example, 99232 has 120.1K claims, 99214 has 98.4K claims, and 99231 has 54.5K claims — these large claim counts, combined with top-state ranks, are consistent with a major referral center or health system hub for inpatient and outpatient care.

The provider also reports meaningful high-acuity and specialty services within its Medicaid mix. Critical care (99291) appears with 18.6K claims and $1.9M revenue (3.9%), consult codes such as 99244 and 99245 rank at or near the top of the state (99244 rank #1 of 64; 100th percentile; 99245 rank #1 of 24; 100th percentile), and specialty procedures like J0585 ($1.5M, 3.2%) further indicate capacity for complex procedural and consultative services.

Although the top three codes concentrate 30.7% of Medicaid revenue, the remainder of the $74.3M is distributed across many mid- and low-revenue codes, demonstrating a diversified service footprint. Notable mid-tail contributors include 99215 ($3.7M, 7.6%), 99213 ($3.1M, 6.4%), 74177 ($1.7M, 3.4%), 70553 ($1.0M, 2.1%), and 88305 ($1.0M, 2.1%), which collectively show the provider derives meaningful revenue from outpatient office visits, imaging, pathology, and therapy services in addition to inpatient and ED care.

Operational and analytical implications: the provider’s NPI was enumerated on 2006-02-24 (~20 years ago), indicating long-standing presence in the market. Combined with the absence of Medicare billing on file and very high Medicaid volumes and state percentile ranks, payers and competitors should treat this entity as a long-tenured, Medicaid-focused high-volume system-level provider when evaluating network contracting, risk exposure, and competitive positioning.

Medicaid: Complete Services Breakdown

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

656 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…	98,420	$60	$5.8M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	92,370	$50	$4.5M
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.	48,760	$90	$4.5M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120,090	$30	$4.1M
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…	44,430	$80	$3.7M
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…	75,530	$40	$3.1M
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.	39,830	$60	$2.5M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	18,550	$100	$1.9M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	16,090	$110	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	22,730	$70	$1.7M

Showing 1–10 of 656

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 — 17 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

656 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	8	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.	15	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.	45	220	1,730	$120	$1.3M
G0480	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…	9	30	340	$60	$890.4K
D8080	N/A	22	50	370	$380	$834.1K
T1013	Sign language or oral interpretive services, per 15 minutes	34	210	560	$60	$822.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	120	400	$60	$685.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	4	50	310	$130	$678K
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…	11	1,180	1,150	$80	$605.7K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	3	20	650	$190	$566.5K

Showing 1–10 of 656

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Mayo Clinic Hospital-rochester	MN	General Acute Care Hospital	$0	$11.5M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Collaborative Services, Inc	MN	Clinical Medical Laboratory	$6.5M	$39.2M
Mayo Clinic	MN	Multi-Specialty Clinic/Center	$0	$10.9M
Mayo Foundation For Medical Education & Research	MN	Durable Medical Equipment & Medical Supplies	$9.3K	$2.8M
Vidhu Kaushik	MN	Clinical Pathology/Laboratory Medicine Physician	$59.6K	$1.9M
Roberto Leon Ferre	MN	Medical Oncology Physician	$1.3M	$0
Peter Noseworthy	MN	Cardiovascular Disease Physician	$1.1M	$0
Daniel Childs	MN	Medical Oncology Physician	$1.1M	$0
Brittany Siontis	MN	Medical Oncology Physician	$960.6K	$0
Sani Kizilbash	MN	Medical Oncology Physician	$946.7K	$0
Katharine Price	MN	Medical Oncology Physician	$832.6K	$0

Mayo Clinic — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References