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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

North Dakota Dhs Aging Services (NPI 1043816457)

Field	Value
Entity Type	Organization
Organization	North Dakota Dhs Aging Services
Address	600 E Boulevard Ave Dept 325
City	Bismarck
State	ND
ZIP	58505
Taxonomy	Case Management Agency
NPI Enumerated	December 10, 2020

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, with total Medicaid revenue of $4.6M. The NPI was enumerated on 2020-12-10 (~6 years ago), so the organization has been active in the claims data for roughly six years, which provides a moderate-length claims history for trend analysis.

The mix of high-revenue codes clearly identifies a case management and waiver-focused operation: T2023 (Targeted case management; per month), T2024 (Service assessment/plan of care development, waiver), and T2022 (Case management, per month) together drive the core clinical/business activity. These codes indicate monthly care coordination and waiver-plan development as primary services rather than episodic clinical care, consistent with the provider taxonomy of Case Management Agency.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 75.5% of this provider's total Medicaid revenue. Specifically, T2023 generated $2.3M (49.3%), T2024 generated $745.9K (16.1%), and 00015 generated $469.3K (10.1%), illustrating reliance on a small set of recurring care-management codes for the majority of income.

Claim volume and unit payment patterns reinforce a recurring-service model: T2023 shows 13.1K claims at $174 avg paid/claim, while T2024 has 2.5K claims at $301 avg paid/claim. The higher avg paid/claim for T2024 versus T2023 suggests that service assessment/plan development is billed at a higher unit rate but occurs less frequently than monthly case-management billing.

Competitive standing within the state is mixed by code: for T2023 and T2022 the provider ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), indicating it is the sole in-state reporter for those codes and peer benchmarking is not possible. By contrast, T2024 ranks #4 of 10 providers in-state (67th percentile; typical, unremarkable volume), which positions the provider as a mid-tier participant for waiver plan work compared with state peers.

Several non-descriptive codes (00015, 00017, 00014, 00016) contribute meaningful Medicaid revenue and are concentrated in small peer sets; 00015 ($469.3K, 10.1%) ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume) and 00017 ($455.8K, 9.8%) ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume). The presence of multiple rank-#1 entries confined to small provider pools suggests strong local footprint for particular billing lines but limited statewide competitive context for some codes.

From a programmatic and operational perspective, the billing profile implies this agency operates a sustained case-management workflow (monthly claims volume) and derives a majority of revenue from recurring, authorization-dependent services and waiver-related planning. For payer or utilization reviewers, key monitoring areas should include eligibility/authorization practices for T2023/T2022 monthly case management and the documentation supporting T2024 waiver assessments because these three codes together represent the majority of revenue.

For analysts assessing growth or contract opportunities, note the combination of sole-reporter status on some codes and mid-tier standing on others: the provider appears to be the primary in-state source for certain targeted case-management codes while competing for waiver-assessment volume. Given the $4.6M Medicaid scale and the ~6-year claims history, further review of member mix, authorizations, and month-to-month enrollment patterns will clarify sustainability and capacity to expand beyond the concentrated top codes.

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
T2023	Targeted case management; per month	13,120	$170	$2.3M
T2024	Service assessment/plan of care development, waiver	2,480	$300	$745.9K
00015	N/A	4,150	$110	$469.3K
00017	N/A	2,040	$220	$455.8K
T2022	Case management, per month	3,790	$110	$431.9K
00014	N/A	1,080	$130	$135.1K
00016	N/A	340	$320	$109.5K

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.

Claims Volume vs. North Dakota Distribution

North Dakota Dhs Aging Services — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	1	10	13,120	$170	$2.3M
T2024	Service assessment/plan of care development, waiver	4	10	2,140	$410	$880.1K
T2022	Case management, per month	1	10	3,790	$110	$433.4K
00017	N/A	1	10	1,020	$220	$229.4K
00015	N/A	1	10	190	$110	$128.1K
00016	N/A	1	10	340	$320	$109.5K
00014	N/A	1	10	590	$130	$74.2K

Nearby Providers

Other providers in the same ZIP code as North Dakota Dhs Aging Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Dakota Department Of Health	ND	Public Health Dentistry	$0	$358.9K
North Dakota Department Of Health	ND	State or Local Public Health Clinic/Center	$0	$4.1K

North Dakota Dhs Aging Services — Billing Profile & Reimbursement Data

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North Dakota Dhs Aging Services — 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