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.

Timothy Peterson (NPI 1134211568)

Field	Value
Entity Type	Individual
Organization	Timothy Peterson
Address	3674 S Washington St
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Addiction Medicine (Preventive Medicine) Physician
NPI Enumerated	September 30, 2006

Payer Source	Total Paid
Medicare	$83.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	470	$90	$41.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	460	$80	$34.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$110	$3.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	$60	$2.4K
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…	20	$60	$1.2K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	190	$1	$570

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Timothy Peterson — 0 of 6 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	11	100	70	$70	$14.7K
99214	98	1,470	90	$60	$10.4K
99310	14	20	40	$100	$9.8K
99308	50	90	50	$50	$8.7K
99213	1,301	1,490	80	$50	$5.8K
96127	7	20	60	$1	$400

Related Providers

Other providers that share a Tax Identification Number (TIN) with Timothy Peterson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Bay Area Health Corporation	AK	Critical Access Hospital	$0	$37M
Astera Health	MN	Rural Health Clinic/Center	$0	$22M
Bristol Bay Area Health Corporation	AK	General Practice Dentistry	$0	$9.1M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Bristol Bay Area Health Corporation	AK	Community/Behavioral Health Agency	$0	$6.8M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
John Thompson	MD	Ophthalmology Physician	$3.9M	$0
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0

Timothy Peterson — Billing Profile & Reimbursement Data

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Timothy Peterson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References