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NPI 1245314533 · Minot, ND · Clinic/Center
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First District Health Unit is a clinic/center provider located in Minot, North Dakota. This profile covers 8 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | First District Health Unit |
| Address | 801 11th Ave Sw |
| City | Minot |
| State | ND |
| ZIP | 58701 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | October 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $785.3K |
| Medicaid | $403.2K |
FIRST DISTRICT HEALTH UNIT’s Medicare billing is heavily dominated by vaccination services: the top three Medicare codes 91320, 90694, and 90480 together account for 83.0% of the provider’s total Medicare revenue. Those three codes are specifically COVID-19 and influenza vaccine products and administration codes, signalling that the clinic’s Medicare business-line is concentrated in immunization delivery rather than evaluation-and-management or procedure-based revenue.
Medicare volume for specific vaccines places this clinic well above national peers on several measures: 90694 ranks #9 of 51679 providers nationally and is labeled an "extreme outlier" for volume, while 91320 ranks #20 of 27083 providers nationally and is "notably above typical" national volume. This combination of rank and code mix indicates the clinic is a major national outlier for influenza and COVID-19 vaccine billing within the Medicare dataset.
On Medicaid the provider also shows a prevention- and pediatric-oriented mix: the top three Medicaid codes S0302, 90471, and 90472 account for 74.6% of Medicaid revenue, and S0302 (EPSDT service) is the single largest Medicaid revenue code at $143.3K. High Medicaid volume on S0302 plus large counts for 90471/90472 suggests a dual role in routine pediatric screening/EPSDT work and high-throughput vaccine administration for Medicaid patients.
The payer mix is unbalanced in scale but not single-payer: lifetime Medicare revenue is $785.3K versus Medicaid revenue of $403.2K, so Medicare represents the larger revenue stream while Medicaid remains a material contributor. Both payers show the same operational emphasis on immunizations and preventive care rather than diversified specialty procedures.
State-level Medicaid ranks reinforce the provider’s role in vaccination delivery: 90471 has 7.3K claims and ranks #7 of 96 providers in-state (94th percentile) and 91320 ranks #1 of 18 providers in-state (100th percentile; labeled an "extreme outlier"). These in-state standings, combined with the large claim counts for vaccine administration, point to the clinic being a prominent vaccination site within the state Medicaid network.
Although vaccine administration dominates revenue, Medicare billing shows a mix of related preventive codes beyond the top three (for example, G0008 and 90677 appear in the top Medicare list), reinforcing that this provider’s operation is structured around public-health immunization services and adult preventive vaccines as a central service line. The code-level composition is consistent with a clinic/center focused on population-level vaccine delivery.
Competitive standing differs by payer and code: for Medicare the provider is a national outlier on at least one top vaccine code (90694, "extreme outlier") and is well above typical national volumes on 91320, whereas for Medicaid the provider is a top in-state biller for 91320 and ranks highly for vaccine administration codes but is more mid-range on preventive screening S0302 (67th percentile). This mixed profile implies national prominence on select Medicare vaccine lines and strong state-level prominence in pediatric/Medi‑caid vaccine delivery.
The provider has an established tenure with NPI enumeration dated 2006-10-24 (~20 years ago), indicating long-standing participation in Medicare and Medicaid programs; combined with the concentrated vaccine volumes, this tenure suggests an enduring public-health vaccination role in the Minot, ND market rather than a recent episodic activity spike.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 2,540 | $130 | $325.2K |
| 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… | 3,000 | $80 | $228.1K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 2,540 | $40 | $99.2K |
| G0008 | Administration of influenza virus vaccine | 3,150 | $20 | $66.1K |
| 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… | 210 | $250 | $51.7K |
| 0124A | N/A | 200 | $40 | $8K |
| G0009 | Administration of pneumococcal vaccine | 220 | $20 | $4.6K |
| 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… | 140 | $20 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
54 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1,180 | $120 | $143.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 7,270 | $20 | $109.1K |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 1,830 | $30 | $45.7K |
| 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. | 400 | $40 | $17.6K |
| 0001A | N/A | 430 | $30 | $11.7K |
| 0002A | N/A | 380 | $30 | $11.4K |
| 0003A | N/A | 130 | $60 | $7.2K |
| T1002 | Rn services, up to 15 minutes | 380 | $20 | $7.2K |
| 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… | 3,600 | $1 | $7.2K |
| 36416 | In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site. | 890 | $10 | $6.2K |
Showing 1–10 of 54
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
54 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8 | 20 | 210 | $100 | $126.6K |
| T1002 | Rn services, up to 15 minutes | 9 | 10 | 690 | $30 | $113.6K |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 12 | 40 | 210 | $20 | $37.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 7 | 100 | 170 | $20 | $34.7K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 15 | 20 | 150 | $50 | $34.6K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 75 | 110 | 230 | $20 | $23.6K |
| S0390 | Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit | 5 | 10 | 1,030 | $20 | $23.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 91 | 90 | 400 | $1 | $20.7K |
| 99188 | The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity. | 14 | 10 | 170 | $20 | $16.3K |
| 86780 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis. | 10 | 10 | 240 | $10 | $13.8K |
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Other providers in the same ZIP code as First District Health Unit, ranked by combined Medicare and Medicaid revenue.
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