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.

Minneapolis Clinic Of Neurology, Ltd (NPI 1992739247)

Minneapolis Clinic Of Neurology, Ltd is a neurology physician provider located in Golden Valley, Minnesota. This profile covers 0 Medicare and 47 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Minneapolis Clinic Of Neurology, Ltd
Address	4225 Golden Valley Rd
City	Golden Valley
State	MN
ZIP	55422
Taxonomy	Neurology Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	1,710	$620	$1.1M
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…	19,980	$50	$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…	11,670	$70	$770K
99205	The provider sees a new 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 provider…	5,050	$110	$565.4K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	4,130	$80	$313.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1,040	$180	$182.5K
99204	The provider sees a new 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 provider…	1,810	$80	$152.2K
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…	3,060	$40	$128.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,610	$70	$112.4K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	980	$100	$97.3K

Showing 1–10 of 47

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

Minneapolis Clinic Of Neurology, Ltd — 5 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	59	120	400	$60	$685.8K
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…	110	1,180	1,150	$80	$605.7K
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…	423	1,200	1,030	$70	$549.7K
J0585	Injection, onabotulinumtoxina, 1 unit	5	20	350	$560	$492.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	258	260	890	$60	$405.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	27	100	250	$100	$399.5K
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…	136	170	620	$40	$333K
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…	14	420	230	$90	$186.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	20	30	590	$100	$170.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	10	40	320	$80	$153.6K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Cloud Hospital	MN	General Acute Care Hospital	$0	$53.4M
St. Cloud Hospital	MN	Substance Use Disorder Rehabilitation Hospital Unit	$0	$5.2M
St. Cloud Hospital	MN	Clinic/Center	$0	$4.4M
Jessica Stulc	MN	Neurology Physician	$1.9M	$0
Akram Dastagir	MN	Neurology Physician	$1M	$0
Sue Mandell	WA	Radiation Oncology Physician	$302.2K	$0
Hani Alkhatib	MN	Hematology & Oncology Physician	$173.1K	$0
Ramesh Kumar Tentu	MN	Hospitalist Physician	$171.8K	$0
Bradley Stish	MN	Radiation Oncology Physician	$171.7K	$0
John Dvorak	MN	Ophthalmology Physician	$160.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Restart, Inc	MN	Adult Care Home Facility	$0	$13.9M
Twin Cities Physicians Professional Corporation	MN	Multi-Specialty Clinic/Center	$0	$11.4M
Dose Health LLC	MN	Emergency Response System Companies	$0	$10.6M
Bio-medical Applications Of Minnesota, Inc.	MN	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
Cld - Robbinsdale Mn, LLC	MN	Dental Clinic/Center	$0	$6.8M
Driving Miss Daisy, Inc.	MN	Non-emergency Medical Transport (VAN)	$0	$5.7M
North Memorial Health Care	MN	Hospitalist Physician	$0	$5.6M
Clemencia Rasquinha	MN	Geriatric Medicine (Family Medicine) Physician	$2.5M	$0
Jonathan Calkwood	MN	Neurology Physician	$1.3M	$0

Minneapolis Clinic Of Neurology, Ltd — Billing Profile & Reimbursement Data

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Minneapolis Clinic Of Neurology, Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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