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.

Shelly Seifert (NPI 1245286764)

Field	Value
Entity Type	Individual
Organization	Shelly Seifert
Address	828 Kirkwood Mall
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Family Medicine Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$238.2K
Medicaid	$0

Key Findings

This profile is effectively single‑payer: the provider reports Total Medicare revenue of $238.2K and Total Medicaid revenue of none (no Medicaid billing on file), indicating Medicare is the sole public payer on file and that Medicaid does not contribute to this physician’s billed revenue. Analysts should treat comparisons and utilization patterns as Medicare-centric rather than dual‑payer.

Revenue is highly concentrated in a few services: J0897 (64.2%), 99214 (11.6%), and 99213 (4.8%) together account for 80.6% of the provider’s Medicare revenue, per the precomputed top‑3 share. This concentration signals dependency on one high‑revenue injectable service plus routine established‑patient office visits for the bulk of income.

The dominant code J0897 (injection, denosumab) points to a service model that includes in‑office administration of specialty injections—most consistent with ongoing osteoporosis or bone‑strengthening therapy—while high volumes of 99214 and 99213 reflect substantial primary care office visit work. Vaccination codes such as 90677 and 90694 and administration codes G0008/G0009 appear as supplemental preventive services but contribute much smaller shares of revenue, suggesting the practice mixes chronic disease injections and routine primary care rather than a vaccine‑driven clinic.

Competitive standing is mixed across specific codes: J0897 ranks #1488 of 10057, in the 85th percentile and is labeled as "typical, unremarkable volume" nationally for that code, indicating above‑median but not dominating activity in injectable osteoporosis therapy. By contrast 99214 ranks #31723 of 479517 at the 93th percentile and is characterized as "notably above typical national volume," which signals strong primary care visit volume relative to national peers even while overall Medicare revenue remains modest.

The mid‑tier procedural and facility work is present but limited: codes such as 99309 ($3K, 1.3%), 96372 ($2.4K, 1.0%), and 17110 ($2.5K, 1.1%) contribute small, single‑digit percentages of Medicare revenue, indicating occasional nursing‑facility visits, in‑office therapeutic injections, and minor lesion procedures as supportive services rather than core revenue drivers. These entries point to a diversified set of low‑to‑moderate intensity procedures that complement the injection + office‑visit revenue base.

Several codes carry percentile labels that contextualize utilization: 99214 is flagged as "notably above typical national volume," while 99213 and J0897 are described as "typical, unremarkable volume," and 96372 is at the 92th percentile with the same "typical, unremarkable volume" characterization. These plain‑English descriptors suggest that the practice’s strongest relative footprint is in higher‑complexity office visits (99214) rather than in uniquely outsized use of the dominant injectable code.

The provider has long tenure in the NPI file, enumerated on 2006-05-26 (~20 years ago), which supports interpretation of this pattern as an established, steady practice rather than a recent entrant. Combined with the revenue concentration around ongoing injection therapy and established‑patient visits, the data are consistent with a stable family medicine practice that integrates chronic injectable therapy into routine care.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	8,400	$20	$151.2K
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…	640	$40	$27.4K
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…	270	$40	$11.3K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$270	$9.6K
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…	100	$80	$7.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$50	$4.9K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	30	$130	$3.6K
G0008	Administration of influenza virus vaccine	120	$30	$3.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	40	$80	$3K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	40	$70	$2.5K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Shelly Seifert — 2 of 20 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

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	3	40	1,920	$20	$61.8K
99309	73	100	70	$70	$14.7K
91320	44	90	30	$130	$14.4K
99214	52	1,470	90	$60	$10.4K
90694	31	120	60	$80	$9.5K
99308	59	90	50	$50	$8.7K
90677	16	80	20	$280	$7.6K
G0439	61	270	50	$100	$6.9K
99213	167	1,490	80	$50	$5.8K
17110	44	60	90	$50	$5.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Support Systems, Inc.	ND	Community/Behavioral Health Agency	$0	$37.7M
Bridging The Dental Gap Inc	ND	Dental Clinic/Center	$0	$6.8M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc.	ND	Community/Behavioral Health Agency	$0	$5.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M

Shelly Seifert — 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