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.

West River Health Services (NPI 1174606271)

Field	Value
Entity Type	Organization
Organization	West River Health Services
Address	1000 Highway 12
City	Hettinger
State	ND
ZIP	58639
Taxonomy	Critical Access Hospital Clinic/Center
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$71.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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…	1,030	$50	$54.6K
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…	60	$110	$6.3K
90837	In 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…	20	$120	$2.6K
90834	In 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…	40	$50	$2.2K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	140	$10	$1.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	250	$10	$1.3K
W0037	N/A	300	$1	$890
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	70	$10	$750
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	70	$10	$580
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	$10	$260

Showing 1–10 of 11

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

West River Health Services — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	66	210	360	$100	$498.2K
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…	129	170	300	$100	$415.8K
90834	In 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…	73	80	400	$80	$133.6K
90837	In 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…	132	140	390	$110	$129.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	19	20	180	$10	$59.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	72	100	170	$20	$34.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	26	30	470	$10	$34.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	55	90	400	$1	$20.7K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	11	20	450	$10	$5.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	46	70	100	$1	$3K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with West River Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West River Health Services	SD	Rural Health Clinic/Center	$0	$353.9K
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Brian Cromwell	MN	Diagnostic Radiology Physician	$222.2K	$390
Farhad Sani	MN	Diagnostic Radiology Physician	$220.6K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70
Sergey Shkurovich	MN	Diagnostic Radiology Physician	$162.1K	$0
Kevin Mcdonnell	MN	Diagnostic Radiology Physician	$140.1K	$17K
Julie Shaffrey	MN	Diagnostic Radiology Physician	$150.7K	$2.5K
Joseph Horner	MN	Diagnostic Radiology Physician	$131.7K	$1.4K
Yair Chaya	MN	Diagnostic Radiology Physician	$102.3K	$29K

Nearby Providers

Other providers in the same ZIP code as West River Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Kludt	ND	Optometrist	$72.8K	$0
Alex Thompson	ND	Physical Therapist	$50.7K	$0
White Drug Co Of Jamestown Inc	ND	Community/Retail Pharmacy	$47K	$0
Kathleen Thompson	ND	Physical Therapist	$39.1K	$0
Catherine Shirek	ND	Family Medicine Physician	$21.8K	$0
Joshua Ranum	ND	Internal Medicine Physician	$20.9K	$0
Rose Bergquist	ND	Psychiatric/Mental Health Clinical Nurse Specialist	$4.3K	$0
West River Health Services	ND	Optometrist	$0	$2K

West River Health Services — Billing Profile & Reimbursement Data

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West River Health Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References