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.

Evergreen Recovery (NPI 1992152821)

Field	Value
Entity Type	Organization
Organization	Evergreen Recovery
Address	1400 Energy Park Dr
City	Saint Paul
State	MN
ZIP	55108
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	May 20, 2016

Payer Source	Total Paid
Medicaid	$47.2M
Medicare	$0

Key Findings

EVERGREEN RECOVERY is effectively a Medicaid-focused provider: there is no Medicare billing on file and Total Medicaid revenue: $47.2M, indicating the organization’s revenue streams are dominated by state Medicaid programs rather than Medicare payers. This payer concentration suggests operational and reimbursement risk is tied primarily to Medicaid policy and rates.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes by revenue account for 98.6% of this provider's total Medicaid revenue, with H2035, H0038, and H0001 together driving nearly all reported Medicaid receipts. This indicates that the provider’s business model and cash flow depend heavily on a narrow set of SUD treatment and peer-support services.

H2035 (Alcohol and/or other drug treatment program, per hour) is the single largest revenue driver with 268.9K claims, $153 avg paid/claim, $41.1M revenue (87.1% of this provider's total Medicaid revenue), and it ranks #4 of 276 providers in-state (99th percentile; notably above typical state volume for this code). This profile signals an operation structured around high-volume, hourly program services—consistent with intensive outpatient or other hour-based treatment models.

H0038 (Self-help/peer services, per 15 minutes) is also a material line of business with 99.1K claims, $49 avg paid/claim, $4.9M revenue (10.3% of this provider's total Medicaid revenue) and it ranks #2 of 128 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). The scale of peer-service delivery relative to peers suggests a strategic emphasis on peer support as a core component of care delivery rather than an ancillary offering.

H0001 (Alcohol and/or drug assessment) accounts for 3.8K claims, $141 avg paid/claim, $541.3K revenue (1.1% of this provider's total Medicaid revenue) and ranks #13 of 191 providers in-state (94th percentile; typical, unremarkable volume for this code). The comparatively small share of revenue from assessments versus program and peer-service codes implies that intake/assessment activity supports higher-revenue program delivery rather than being a primary revenue generator.

Supporting services reported include T1016 (Case management, each 15 minutes) with 42.7K claims, $11 avg paid/claim, $469.5K revenue (1.0% of this provider's total Medicaid revenue) and 80305 (presumptive drug test) with 16K claims, $13 avg paid/claim, $208.4K revenue (0.4% of this provider's total Medicaid revenue). T1016 ranks #37 of 236 providers in-state (85th percentile; typical, unremarkable volume) while 80305 ranks #2 of 52 providers in-state (98th percentile; notably above typical state volume), indicating consistent use of case management and elevated use of in‑office drug screening.

Competitive standing is strong in-state for the provider’s dominant codes: H2035 and H0038 both sit in the 99th percentile for volume and rank among the very top providers statewide, which characterizes EVERGREEN RECOVERY as a major player in Minnesota for hour-based SUD programs and peer services. Other codes (H0001, T1016) are mid-to-high percentile but not outlier-level, suggesting focused dominance rather than broad-based leadership across all SUD-related service types.

Operational tenure is established: NPI enumerated (registered): 2016-05-20 (~10 years ago), which provides nearly a decade of Medicaid billing history to support the current high-volume footprint in H2035 and H0038. This longevity combined with extreme outlier volumes for key codes suggests the provider has scaled a repeatable model around hourly program services and peer-support delivery over time.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	268,890	$150	$41.1M
H0038	Self‑help/peer services, per 15 minutes	99,110	$50	$4.9M
H0001	Alcohol and/or drug assessment	3,840	$140	$541.3K
T1016	Case management, each 15 minutes	42,680	$10	$469.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	16,030	$10	$208.4K
H2036	Alcohol and/or other drug treatment program, per diem	30	$120	$2.9K

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

Evergreen Recovery — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	122	120	2,540	$1,210	$5.7M
H2035	Alcohol and/or other drug treatment program, per hour	4	280	5,980	$120	$3M
T1016	Case management, each 15 minutes	37	240	1,870	$50	$1.9M
H0038	Self‑help/peer services, per 15 minutes	2	130	1,640	$80	$599.5K
H0001	Alcohol and/or drug assessment	13	190	220	$140	$158.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	2	50	350	$10	$19K

Nearby Providers

Other providers in the same ZIP code as Evergreen Recovery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accord	MN	Community/Behavioral Health Agency	$0	$112.2M
Allina Health System	MN	Family Medicine Physician	$0	$10.8M
Asian Adult Day Care LLC	MN	Respite Care	$0	$7.5M
Emily Program P C	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Metropolitan Pediatric Dental Associates, Ltd	MN	Pediatric Dentistry	$0	$4.7M
Gene Chen	MN	Ophthalmology Physician	$342.5K	$0
James Dorrian	MN	Dermatology Physician	$250K	$0
Stephen Mchale	MN	Otolaryngology Physician	$79.2K	$0
Jamie Hanson	MN	Dermatology Physician	$75.7K	$0
Joshua Woelk	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$30.5K	$0

Evergreen Recovery — Billing Profile & Reimbursement Data

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Evergreen Recovery — 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

Nearby Providers

Frequently Asked Questions

References