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.

Abby Wald (NPI 1184355000)

Field	Value
Entity Type	Individual
Organization	Abby Wald
Address	420 S 7th St
City	Oakes
State	ND
ZIP	58474
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 21, 2022

Payer Source	Total Paid
Medicare	$10.1K
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…	70	$70	$4.9K
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…	80	$50	$3.8K
99204	The provider sees a new 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 provider…	10	$90	$980
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…	40	$10	$310
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$1	$60
J0696	Injection, ceftriaxone sodium, per 250 mg	80	$0	$0

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

Abby Wald — 0 of 5 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
99214	858	1,470	90	$60	$10.4K
99213	690	1,490	80	$50	$5.8K
99204	537	570	30	$100	$4.4K
96372	71	140	40	$10	$720
81003	44	90	30	$1	$140
J0696	5	10	80	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
After Hours Medical LLC	UT	Urgent Care Clinic/Center	$0	$3.2M
Olyna Agee	NV	Family Nurse Practitioner	$49.7K	$0
Marilyn Ek	MN	Family Nurse Practitioner	$45.4K	$0
Troy Eden	NV	Physician Assistant	$33.9K	$490
Medallus & Vacharothone Ltd	ND	Family Medicine Physician	$0	$33.5K
Christina Dahl	ND	Family Nurse Practitioner	$17.5K	$0
Stella Onyeakazi	ND	Family Nurse Practitioner	$12.4K	$0
Burton Mollman	ND	Physician Assistant	$10.6K	$0
Rachot Vacharothone	UT	Internal Medicine Physician	$10.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakes Volunteer Ambulance Service	ND	Land Ambulance	$127.2K	$0
Tara Mertz-hack	ND	Family Medicine Physician	$101.8K	$0
Oakes Community Hospital	ND	Rural Health Clinic/Center	$0	$54.9K
Denise Erlandson	ND	Family Nurse Practitioner	$26.3K	$0
Dlg Pharmacy, LLC	ND	Community/Retail Pharmacy	$14.5K	$0
Heather Mattson	ND	Physical Therapist	$12.6K	$0
Dethlefsen Chiropractic	ND	Chiropractor	$0	$8K
Oakes Community Hospital	ND	Critical Access Hospital	$0	$4.1K
Be Thou My Vision, PLLC	ND	Optometrist	$0	$2.7K

Abby Wald — Billing Profile & Reimbursement Data

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Abby Wald — 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

Nearby Providers

Frequently Asked Questions

References