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.

Spectra Health (NPI 1255317905)

Field	Value
Entity Type	Organization
Organization	Spectra Health
Address	607 Towner Ave
City	Larimore
State	ND
ZIP	58251
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 15, 2005

Payer Source	Total Paid
Medicaid	$258.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	930	$160	$151.3K
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…	580	$170	$100.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	300	$10	$3.6K
0012A	N/A	50	$40	$1.8K
0011A	N/A	60	$20	$1.2K
Q3014	Telehealth originating site facility fee	20	$10	$290
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	10	$20	$270
91301	N/A	120	$0	$0

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

Spectra Health — 0 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	71	210	360	$100	$498.2K
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…	66	170	300	$100	$415.8K
Q3014	Telehealth originating site facility fee	23	30	130	$180	$355.8K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	7	20	260	$20	$18.4K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	16	20	50	$20	$10K
0012A	N/A	8	20	40	$30	$2.4K
0011A	N/A	8	20	40	$20	$1.7K
91301	N/A	10	20	100	$0	$0

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$3.2M
Anne Nygaard	ND	Family Nurse Practitioner	$44.6K	$0
Kristen Young	ND	Family Nurse Practitioner	$730	$0
Lisa Bernhardt	ND	Adult Health Clinical Nurse Specialist	$470	$0
David Sundberg	ND	Primary Care Nurse Practitioner	$220	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew J Volk Dds PC	ND	Dental Clinic/Center	$0	$64.5K
Matthew Volk	ND	General Practice Dentistry	$0	$8.7K

Spectra Health — Billing Profile & Reimbursement Data

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Spectra Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References