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.

South Metro Human Services-act Blue (NPI 1952843864)

Field	Value
Entity Type	Organization
Organization	South Metro Human Services-act Blue
Address	166 4th St E
City	Saint Paul
State	MN
ZIP	55101
Taxonomy	Case Management Agency
NPI Enumerated	November 9, 2016

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	47,980	$210	$9.9M

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

South Metro Human Services-act Blue — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	6	40	25,290	$200	$5.8M

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Metro Human Services-act Blue, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
South Metro Human Services	MN	Case Management Agency	$0	$11.8M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services Dba Radias Health	MN	Case Management Agency	$0	$9.7M
South Metro Human Services- Fact	MN	Case Management Agency	$0	$8.7M
South Metro Human Services Dba Radias Health	MN	Case Management Agency	$0	$6.6M

Nearby Providers

Other providers in the same ZIP code as South Metro Human Services-act Blue, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramsey County Community Human Services	MN	Public Health or Welfare Agency	$0	$97.5M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
Specialized Treatment Services, Inc.	MN	Methadone Clinic	$444.6K	$6.4M
Gillette Children's Specialty Healthcare	MN	Multi-Specialty Clinic/Center	$0	$5.4M
Prasongchai Sattayaprasert	MN	Cardiovascular Disease Physician	$238.9K	$1.1K
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0
Ryan Koene	MN	Clinical Cardiac Electrophysiology Physician	$120K	$0
Charles Shideman	MN	Radiation Oncology Physician	$118.9K	$0
Abimbola Johnson	MN	Foot & Ankle Surgery Podiatrist	$113.1K	$0

South Metro Human Services-act Blue — Billing Profile & Reimbursement Data

Sign up for South Metro Human Services-act Blue — Billing Profile & Reimbursement Data policy alerts

South Metro Human Services-act Blue — Billing Profile & Reimbursement Data

Sign up for South Metro Human Services-act Blue — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References