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.

Avalon Programs, LLC (NPI 1952766651)

Field	Value
Entity Type	Organization
Organization	Avalon Programs, LLC
Address	550 Main Street
City	New Brighton
State	MN
ZIP	55112
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 22, 2015

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	76,300	$100	$7.4M
H0001	Alcohol and/or drug assessment	3,200	$120	$393.8K
H2019	Therapeutic behavioral services, per 15 minutes	1,080	$150	$156.7K
H0038	Self‑help/peer services, per 15 minutes	4,910	$20	$98.2K
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…	150	$70	$11K
T1016	Case management, each 15 minutes	760	$10	$10.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	40	$30	$1.1K

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

Avalon Programs, LLC — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	17	280	5,980	$120	$3M
T1016	Case management, each 15 minutes	154	240	1,870	$50	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	36	50	5,850	$110	$1.2M
H0038	Self‑help/peer services, per 15 minutes	30	130	1,640	$80	$599.5K
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…	925	1,140	1,010	$100	$543K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	111	120	980	$60	$174.5K
H0001	Alcohol and/or drug assessment	15	190	220	$140	$158.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cedar Ridge Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$10.4M

Nearby Providers

Other providers in the same ZIP code as Avalon Programs, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nystrom & Associates, Ltd	MN	Clinical Social Worker	$0	$187.1M
Medtox Laboratories, Inc	MN	Clinical Medical Laboratory	$63.4K	$47.7M
Family Support Services Inc.	MN	Mental Health Counselor	$0	$45.9M
Nystrom & Associates, Ltd.	MN	Addiction (Substance Use Disorder) Counselor	$0	$32.9M
Tru Healthcare, Inc.	MN	In Home Supportive Care Agency	$0	$28.8M
Nystrom & Associates, Ltd	MN	Mental Health Counselor	$0	$11.8M
Apple Tree Dental	MN	General Practice Dentistry	$0	$11.4M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.3M
Quest Diagnostics LLC Il	MN	Clinical Medical Laboratory	$0	$6.5M
Latitudes Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$5.5M

Avalon Programs, LLC — Billing Profile & Reimbursement Data

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Avalon Programs, 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