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    OpenPayerNPI Medicare & MedicaidFraser, Ltd.
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    Fraser, Ltd. — Billing Profile & Reimbursement Data

    NPI 1013285337 · Fargo, ND · Community/Behavioral Health Agency

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    Fraser, Ltd. is a community/behavioral health agency provider located in Fargo, North Dakota. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFraser, Ltd.
    Address2902 University Dr S
    CityFargo
    StateND
    ZIP58103
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 1, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.9M
    Medicare$0

    Key Findings

    FRASER, LTD. is effectively a Medicaid-focused Community/Behavioral Health Agency: it reports no Medicare billing on file and $13.9M in lifetime Medicaid revenue, indicating the organization operates almost entirely within the Medicaid payer space rather than as a dual Medicare/Medicaid provider. Its taxonomy and billing profile point to a behavioral health/residential services operator rather than a Medicare outpatient provider.

    Revenue for FRASER, LTD. is heavily concentrated in a very small set of Medicaid codes: the top three Medicaid codes by revenue account for 99.9% of total Medicaid revenue. The top drivers are T2016 with $8.4M (60.2%), W0725 with $5.4M (39.0%), and 90837 with $105.1K (0.8%), showing that nearly all revenue is tied to these few billing lines.

    The code mix suggests operations centered on habilitation and residential/waiver services: T2016 (Habilitation, residential, waiver; per diem) provides $8.4M in revenue, which implies a per‑diem, facility-style service line is core to the business model. W0725, despite lacking a public description here, shows a very high average paid/claim ($6552) and $5.4M in revenue, reinforcing that high-acuity or daily-rate residential services — rather than standard outpatient psychotherapy — are the primary revenue sources.

    Psychotherapy is present but a minor contributor to revenue: 90837 accounts for $105.1K (0.8% of Medicaid revenue) from 1.2K claims at $91 average paid/claim, while 90834 and 90785 together contribute essentially 0.0% of revenue. This implies that face-to-face psychotherapy is part of service delivery but not the financial backbone of the provider.

    Competitive standing for FRASER, LTD. on its largest code is modest: T2016 ranks #25 of 29 providers in-state (14th percentile), indicating typical, unremarkable volume for that code and that FRASER is not a dominant in-state provider of T2016 services despite the code driving the largest share of its revenue. Similarly, W0725 ranks #16 of 25 in-state (38th percentile), which also signals a modest market position rather than leadership for that high-revenue code.

    By contrast, the provider shows relatively stronger positioning on psychotherapy volume compared with other in-state peers: 90837 ranks #32 of 138 providers in-state (77th percentile), meaning FRASER is above many peers on this specific psychotherapy measure even though the dollar impact is small ($105.1K, 0.8% of revenue). This decoupling of higher rank but low revenue share highlights a business model weighted toward high-dollar residential/per-diem services.

    Operationally, the provider has an established footprint: the NPI was enumerated 2011-12-01 (~15 years ago), which indicates multi-year presence in the market. That tenure combined with a concentrated revenue mix suggests a stable but specialized operation focused on a narrow set of Medicaid-funded service lines.

    The extreme revenue concentration creates sensitivity to changes in utilization or reimbursement for the top codes: because the top three codes together make up 99.9% of Medicaid revenue, shifts in policy, rates, or authorization for T2016 or W0725 could materially affect the provider’s financial profile. For payer analysis, these concentrated exposures warrant focused monitoring of those specific service lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem1,820$4,600$8.4M
    W0725N/A830$6,550$5.4M
    90837In 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…1,160$90$105.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…100$70$6.7K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.100$10$830

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Dakota median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem253021,220$400$14.1M
    W0725N/A16301,380$2,520$9.9M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…6380400$80$133.6K
    90837In 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…32140390$110$129.2K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.3040410$10$22.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Living Services, IncNDCommunity/Behavioral Health Agency$0$104.6M
    Villa NazarethNDCommunity/Behavioral Health Agency$0$84.2M
    Psj Acquisition LLCNDPsychiatric Hospital$0$32.3M
    Vocational Training Center, Inc.NDCommunity/Behavioral Health Agency$0$28.5M
    Fm Ambulance Service, IncNDLand Ambulance$2M$23.8M
    Innovis Health, LLCNDGeneral Acute Care Hospital$0$25.5M
    Community Medical Services Montana Private LLCNDMethadone Clinic$214.7K$8.9M
    Southeast Behavioral Health ClinicNDSubstance Use Disorder Rehabilitation Clinic/Center$0$8.8M
    Village Family Service CenterNDMental Health Clinic/Center (Including Community Mental Health Center)$0$8.8M
    Doyle's Yellow Checker Cab, IncNDTaxi$0$7.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Fraser, Ltd. — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota