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.

North Memorial Health Care (NPI 1952732729)

Field	Value
Entity Type	Organization
Organization	North Memorial Health Care
Address	15450 Highway 7
City	Minnetonka
State	MN
ZIP	55345
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 4, 2013

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

146 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…	36,690	$90	$3.2M
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…	24,770	$60	$1.5M
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	5,960	$60	$351.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	41,720	$10	$208.6K
0240U	N/A	1,230	$140	$173.6K
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…	1,590	$80	$128.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	7,900	$20	$126.4K
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…	940	$130	$119K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,650	$10	$107.2K
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…	1,200	$80	$97K

Showing 1–10 of 146

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

North Memorial Health Care — 4 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

146 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	126	240	1,870	$50	$1.9M
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…	14	10	1,590	$100	$1.2M
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…	50	1,180	1,150	$80	$605.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	79	100	510	$40	$560.8K
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…	92	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…	71	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…	109	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)	71	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…	95	240	610	$70	$165.5K
X5622	N/A	178	300	470	$60	$159.8K

Showing 1–10 of 146

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Memorial Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	Ambulance	$0	$112.8M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Stellis Health, PA	MN	Multi-Specialty Clinic/Center	$0	$8.6M
Maple Grove Hospital Corporation	MN	General Acute Care Hospital	$0	$7.6M
Summit Orthopedics, Ltd	MN	Orthopaedic Surgery Physician	$0	$6.7M
North Memorial Health Care	MN	Hospitalist Physician	$0	$5.6M
North Memorial Health Care	MN	Urgent Care Clinic/Center	$0	$4.5M
Osama Ibrahim	TN	Interventional Cardiology Physician	$278.7K	$0
Porur Somasundaram	FL	Clinical Cardiac Electrophysiology Physician	$225.7K	$0
Stefano Sinicropi	MN	Orthopaedic Surgery of the Spine Physician	$194.1K	$0

Nearby Providers

Other providers in the same ZIP code as North Memorial Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Opportunities Foundation	MN	Psychologist	$0	$97M
Minnetonka Public Schools	MN	Local Education Agency (LEA)	$0	$6.8M
Relate Inc	MN	Community/Behavioral Health Agency	$0	$6.3M
South Lake Clinic, P.A.	MN	Pediatrics Physician	$0	$5.9M
Grand St Paul Cvs LLC	MN	Pharmacy	$84.9K	$0
Amal Wasuge	MN	Occupational Therapist	$77K	$0
Claire Wheatley	MN	Physical Therapist	$56.5K	$0
Maria Ryan	MN	Sports Medicine (Family Medicine) Physician	$40.7K	$0
Andrew Cardinal	MN	Physical Therapist	$30.2K	$0

North Memorial Health Care — Billing Profile & Reimbursement Data

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North Memorial Health Care — 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