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.

Robert Tanous (NPI 1174550180)

Field	Value
Entity Type	Individual
Organization	Robert Tanous
Address	401 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicare	$525.2K
Medicaid	$0

Key Findings

This provider’s Medicare billing footprint is modest in absolute scale: lifetime Medicare revenue is $525.2K and there is no Medicaid billing on file, so the practice functions effectively as a single-payer (Medicare) operation. The NPI was enumerated 2006-06-26 (~20 years ago), indicating long tenure but a Medicare-only billing mix during the reported period.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 91.2% of total Medicare revenue, with J0897 alone representing $385.6K (74.6% of Medicare revenue). This concentration means a small set of services drives the vast majority of reported Medicare dollars for this provider.

The specific code mix points to an osteoporosis-focused service model: J0897 (Injection, denosumab) appears as the dominant line with 21.4K claims and $385.6K revenue, supported by high-volume DXA imaging 77080 (948 claims, $36K revenue) and office E&M 99214 (566 claims, $49.8K revenue). Together these codes (J0897 + 77080 + 99214) suggest the practice delivers denosumab administration, on-site bone density testing, and follow-up outpatient management for chronic bone disease.

On competitive standing, the provider is a national outlier for the highest-revenue procedures: J0897 ranks #248 of 10057 providers nationally (98th percentile; notably above typical national volume) and 77080 ranks #338 of 17308 providers nationally (98th percentile; notably above typical national volume). For these specific services the practice is a prominent national participant, even though overall Medicare revenue remains limited to $525.2K.

Office visit volumes are meaningful but secondary to the infusion/injection and imaging lines: 99214 accounts for $49.8K (9.6% of Medicare revenue) and 99213 accounts for $30.1K (5.8% of Medicare revenue), with 99214 ranking #39503 of 479517 providers nationally (92th percentile) and 99213 ranking #29397 of 457151 (94th percentile). These E&M codes indicate ongoing chronic-care management consistent with repeated treatment visits but contribute a much smaller share of revenue than J0897.

Ancillary injection and immunization services are present but contribute minimal revenue: 96372 shows 443 claims and $4.4K revenue (ranks #2021 of 58224, 97th percentile; notably above typical volume) and influenza vaccine codes such as 90694 and G0008 together represent a small fraction of revenue ($2.6K and $1.1K respectively). This pattern supports a workflow that administers multiple on-site injections and vaccines but relies financially on one high-revenue drug administration code.

From an operational and payer-risk perspective, dependence on a single drug administration code creates sensitivity to changes in utilization or reimbursement for denosumab: with J0897 comprising $385.6K (74.6% of Medicare revenue) and the top 3 codes totaling 91.2% of Medicare revenue, any disruption to access, clinical guidelines, or payment for that therapy would materially affect this provider’s Medicare revenue. Strategic diversification of services or payers would reduce that single-code exposure.

The absence of Medicaid billing ("none below — this provider has no Medicaid billing on file") means the provider’s Medicaid-facing footprint is effectively nil; for payers and competitors this signals limited engagement with Medicaid populations and little opportunity or history to negotiate Medicaid contracts. For market analysis, this makes the provider’s competitive position relevant primarily within the Medicare-paid osteoporosis/injection care segment rather than the broader, mixed-payer ambulatory market.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	21,420	$20	$385.6K
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…	570	$90	$49.8K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	950	$40	$36K
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…	480	$60	$30.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	440	$10	$4.4K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	30	$80	$2.6K
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…	20	$140	$2.6K
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	$80	$1.4K
G0008	Administration of influenza virus vaccine	30	$30	$1.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	80	$10	$890

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Robert Tanous — 5 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	1	40	1,920	$20	$61.8K
96413	9	10	40	$100	$17.2K
99214	71	1,470	90	$60	$10.4K
90694	78	120	60	$80	$9.5K
99215	374	480	40	$100	$6.9K
96365	14	20	40	$50	$6.3K
99213	43	1,490	80	$50	$5.8K
77080	2	50	150	$10	$3.8K
G0008	184	290	50	$30	$3.1K
99203	443	490	30	$60	$2.5K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
Innovis Health LLC	ND	Family Medicine Physician	$0	$4.5M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Robert Tanous — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References