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.

Innovis Health, LLC (NPI 1215125463)

Key Findings

Field	Value
Entity Type	Organization
Organization	Innovis Health, LLC
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 11, 2007

Payer Source	Total Paid
Medicaid	$25.5M
Medicare	$0

This provider is effectively single‑payer on file: there is no Medicare billing on file and all recorded federal revenue is from Medicaid ($25.5M). The absence of Medicare activity means comparisons and competitive analysis should focus on Medicaid dynamics rather than cross‑payer mix.

Revenue is highly concentrated in a few outpatient/ED services: the precomputed top‑3 Medicaid codes account for 76.4% of Medicaid revenue, driven by 99284 ($7.2M, 29.1%), 99283 ($6M, 24.3%), and G0463 ($5.7M, 23.0%). This concentration indicates the provider’s Medicaid footprint is dominated by high‑volume emergency department and hospital outpatient clinic visits.

The code mix points to an ED‑centric operating model with substantial outpatient throughput: 99283, 99284, 99285, and 99282 (all E/M emergency department codes) together represent the lion’s share of revenue and claim volume, while G0463 signals a parallel hospital outpatient clinic assessment and management function. These patterns are consistent with a general acute care hospital serving large emergency and same‑day outpatient populations.

Competitive standing in state Medicaid is strong for core ED services: 99283 ranks #1 of 48 providers in‑state (100th percentile; extreme outlier) and 99284 ranks #2 of 33 providers (97th percentile; extreme outlier), indicating this provider is a dominant statewide source of lower‑ and moderate‑complexity ED visits. Higher‑acuity ED visits (99285) are present but more typical in state context (99285 ranks #5 of 19, 78th percentile), suggesting particular strength at certain ED visit intensities.

Operational breadth includes routine diagnostics and COVID testing on Medicaid: molecular SARS‑CoV‑2 testing U0003 ($939.9K, 3.8%) ranks #2 of 14 (92th percentile) and specimen collection C9803 ($45.4K, 0.2%) ranks #1 of 6 (100th percentile; notably above typical state volume), indicating the hospital maintains on‑site high‑throughput testing capacity in addition to ED services.

Ancillary outpatient procedures and lab services appear across the top codes but at modest revenue shares: examples include endoscopy 43239 ($198.1K, 0.8%), IV administration 96374 ($270.6K, 1.1%) and ophthalmology 92014 ($88.8K, 0.4%). These items suggest the facility offers a mix of diagnostic and therapeutic outpatient services that complement its ED and clinic volumes.

A few codes reflect unique reporting positions relative to state peers: 36591 shows 18.8K claims and $94.2K revenue but is listed as #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), which signals this provider is the sole reporter for that code in the dataset rather than typical peer activity. Analysts should treat single‑provider codes cautiously when benchmarking.

The provider’s NPI tenure is long enough to establish persistent patterns: NPI enumerated 2007-10-11 (~19 years ago). Given the sustained, concentrated Medicaid revenue and the provider’s high percentiles on ED codes, the current billing profile likely reflects an established service footprint rather than short‑term variation.

Medicaid: Complete Services Breakdown

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

208 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	47,670	$150	$7.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	53,420	$110	$6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	89,550	$60	$5.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	14,840	$190	$2.8M
U0003	Infectious 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…	12,370	$80	$939.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,800	$60	$330.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,640	$50	$270.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1,160	$180	$202.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	390	$510	$198.1K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	8,400	$20	$134.3K

Showing 1–10 of 208

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

Innovis Health, LLC — 3 of 25 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

208 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	10	850	$100	$2.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	10	4,940	$60	$2.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5	20	1,120	$220	$2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	30	1,280	$180	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	50	670	$150	$829.9K
J0585	Injection, onabotulinumtoxina, 1 unit	3	10	140	$380	$576.6K
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…	131	210	360	$100	$498.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	24	30	460	$50	$423.5K
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…	102	170	300	$100	$415.8K
Q3014	Telehealth originating site facility fee	17	30	130	$180	$355.8K

Showing 1–10 of 208

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
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
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Innovis Health, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References