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    OpenPayerNPI Medicare & MedicaidSanford Health Network North
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    Sanford Health Network North — Billing Profile & Reimbursement Data

    NPI 1184725194 · Hillsboro, ND · Critical Access Hospital

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    Sanford Health Network North is a critical access hospital provider located in Hillsboro, North Dakota. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSanford Health Network North
    Address12 3rd St Se
    CityHillsboro
    StateND
    ZIP58045
    TaxonomyCritical Access Hospital
    NPI EnumeratedSeptember 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$16.8K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,300$10$7.8K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…30$110$3.3K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…70$40$2.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.40$50$1.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…70$10$920

    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.

    Full comparison — all codes billed, vs. North Dakota median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…1410160$60$172.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.4150630$10$49.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…1320170$30$22.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2790400$1$20.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…4050520$1$19.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sanford Health Network North, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Health Network NorthMNMulti-Specialty Clinic/Center$0$5.2M
    Sandeep JainMNMedical Oncology Physician$709.8K$0
    Donald StallmanNDDiagnostic Radiology Physician$610.1K$0
    Steven AndersonNDOphthalmology Physician$396.3K$0
    Trudi ParkerMNDiagnostic Radiology Physician$317.2K$0
    Edmund FiksinskiNEInterventional Cardiology Physician$293.9K$0
    David SchallNDOrthopaedic Surgery Physician$268.1K$0
    Thomas HaldisNDInterventional Cardiology Physician$264.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Sanford Health Network North, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Health Network NorthNDRural Health Clinic/Center$0$253.4K
    Tyler AndersonNDPhysical Therapist$74.7K$0
    Traill District Health UnitNDPublic Health or Welfare Agency$28.2K$230

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Sanford Health Network North — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota