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.

Trinity Health (NPI 1083653752)

Key Findings

Field	Value
Entity Type	Organization
Organization	Trinity Health
Address	2305 37th Ave Sw
City	Minot
State	ND
ZIP	58701
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

This provider appears effectively single-payer in the fee-for-service claims we see: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-only, totaling $18.7M. That concentration means analyses of site volumes and competitive standing should focus on Medicaid dynamics rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated in a small set of evaluation-and-management codes: the precomputed top-3 Medicaid codes (99213, 99214, 99284) account for 66.0% of the provider’s total Medicaid revenue. Individually those codes are large line items: 99213 generated $4.6M (27.2% of Medicaid revenue), 99214 generated $3.5M (20.6%), and 99284 generated $3.1M (18.2%), indicating the bulk of dollars flow from routine established-patient office visits and moderate-complexity ED encounters.

The code mix for the top revenue drivers points to a high-throughput ambulatory and emergency-care orientation within a multispecialty facility. High volumes for 99213 (office established), 99214 (higher-complexity established), and 99284 (moderate ED E/M) indicate the operation relies on visit-based professional E/M services as its primary revenue engine rather than procedure-heavy specialties.

Competitive standing within the state is strong for core ambulatory E/M: 99213 ranks #4 of 206 providers (99th percentile) and 99214 ranks #5 of 171 providers (98th percentile), signaling the provider is a major statewide participant for established-office visits. The ED code 99284 ranks #3 of 33 providers (94th percentile), showing the provider also fields significant ED volume, though the ED footprint is competitive across fewer providers.

Tenure is long enough to support the observed scale: the NPI was enumerated on 2006-06-06 (~20 years ago), which is consistent with an organization that has built sustained Medicaid volume and broad service lines over time. This longevity increases confidence that the high ranks and volumes reflect an established operational footprint rather than a short-term anomaly.

Certain procedure and preventive codes show unusually high state volumes relative to peers and reinforce the breadth of services offered: vaccination administration codes 90471 (15.9K claims, $15 avg paid/claim) and 90472 (15.2K claims, $15 avg paid/claim) rank notably above typical state volume (96th and 93rd percentiles respectively), implying active immunization clinics or high pediatric/primary care throughput. At the same time, the provider also reports meaningful pathology and imaging lines (88305, 74177, 70450) and outpatient ophthalmology (92004, 92014), consistent with a multispecialty clinic delivering ancillary diagnostics on-site or as an integrated referral hub.

There are multiple examples of high-volume, low-unit-payment services in the top codes that suggest a throughput-driven revenue model. Examples include 71045 with 23.2K claims at $7 avg paid/claim and 93010 with 22.3K claims at $7 avg paid/claim; these large claim counts but low per-claim payments show revenue accumulation via scale. Combined with large counts for routine E/M and vaccine administration, the pattern is operationally consistent with a high-visit ambulatory practice plus ED capacity rather than a niche procedure center.

A few specialty-care indicators are present and merit attention for network or contracting decisions: 90962 (ESRD monthly management) is ranked #1 of 4 providers (100th percentile) while the dataset characterizes the volume as typical for that code, suggesting the provider is a primary local resource for dialysis/ESRD monthly oversight among a small set of in-state providers. Additionally, mental-health E/M and psychiatric evaluation codes (90834, 90792) and pediatric preventive codes (99391, 99392, 99393) appear in the top-25 list, indicating integrated behavioral health and pediatric preventive services within the clinic mix rather than a strictly adult-primary-care or purely procedural focus.

Medicaid: Complete Services Breakdown

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

160 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	69,650	$70	$4.6M
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…	36,620	$100	$3.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	25,920	$120	$3.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,670	$90	$580.5K
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…	10,020	$50	$531.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	11,040	$50	$507.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,160	$70	$480K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,780	$90	$343.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	5,170	$70	$336.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,800	$100	$288.7K

Showing 1–10 of 160

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

Trinity Health — 6 of 25 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

160 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13	20	1,120	$220	$2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3	30	1,280	$180	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	14	50	670	$150	$829.9K
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…	4	210	360	$100	$498.2K
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…	5	30	460	$50	$423.5K
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…	5	170	300	$100	$415.8K
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…	8	20	310	$70	$364K
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…	6	10	310	$150	$323.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2	60	130	$190	$242.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7	30	450	$110	$198.3K

Showing 1–10 of 160

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Hospitals	ND	General Acute Care Hospital	$0	$7.4M
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Trinity Hospitals	ND	Land Ambulance	$0	$3.5M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Trinity Health	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$873.2K
Trinity Hospitals	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$754.6K
Chad Wolsky	ND	Ophthalmology Physician	$504K	$0
Gregory Arov	FL	Diagnostic Radiology Physician	$452.4K	$0
Andrew Wilder	ND	Diagnostic Radiology Physician	$431.4K	$0
Trinity Health	ND	Ambulatory Surgical Clinic/Center	$397.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$83.6M
Rem North Dakota	ND	Community/Behavioral Health Agency	$0	$72.7M
North Central Behavioral Health Clinic	ND	Clinic/Center	$0	$7M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$6.7M
Doughboy Pediatric Dental Group	ND	Pediatric Dentistry	$0	$5.6M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$2.1M
University Of North Dakota	ND	Family Medicine Physician	$0	$1.4M
First District Health Unit	ND	Clinic/Center	$785.3K	$403.2K
Providence House Minot LLC	ND	Substance Abuse Rehabilitation Facility	$0	$1.1M
Dakota Kids Dentistry	ND	Pediatric Dentistry	$0	$758.6K

Trinity Health — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References