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 1255677084)

Key Findings

Field	Value
Entity Type	Organization
Organization	Innovis Health LLC
Address	1702 University Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Family Medicine Physician
NPI Enumerated	December 26, 2012

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

INNOVIS HEALTH LLC shows effectively single‑payer activity: there is no Medicare billing on file and all reported revenue is Medicaid‑based, with total Medicaid revenue of $4.5M. This profile should be treated as a Medicaid‑centered practice when assessing payer negotiations, network participation, or utilization patterns.

Revenue is highly concentrated in a small set of office and preventive visit codes: the top three Medicaid codes (99214, 99213, 99392) account for 60.1% of the provider's Medicaid revenue, with 99214 alone representing $1.9M (43.2%) of the $4.5M total. That concentration indicates that evaluation-and-management and prevention visits are the primary revenue drivers for the practice.

The code mix is consistent with a family medicine primary‑care operation that also delivers substantial preventive and pediatric services: high volumes and revenue for E/M codes 99214 (27.3K claims, $1.9M) and 99213 (11.9K claims, $501.8K), plus preventive medicine codes 99392 (3.5K claims, $225.7K), 99391 (3K claims, $171.5K) and 99393 (1.4K claims, $87.6K). Frequent vaccine administration codes (90471, 90460, 90472, 90461) further support a strong pediatric/preventive care component.

Despite the overall characterization as "typical, unremarkable volume" in the underlying fields, INNOVIS is a relatively high‑volume Medicaid provider in state rankings for its core E/M work: 99214 ranks #7 of 171 providers (96th percentile) and 99213 ranks #11 of 206 (95th percentile). In practical terms, the practice is among the higher Medicaid E/M billers in North Dakota while still operating within expected coding patterns for primary care.

INNOVIS also reports meaningful statewide standing in ancillary outpatient services tied to primary care and vision: 92004 ranks #3 of 37 providers (94th percentile) with $82.6K revenue and 92014 ranks #5 of 46 (91st percentile) with $130.7K revenue, indicating that comprehensive eye exams are a notable component of its revenue mix alongside routine medical care. These ophthalmology entries suggest either integrated vision services or billing relationships that expand the practice's service scope.

The provider’s procedure and therapy mix indicates breadth beyond standard office visits: 97530 (1.6K claims, $93.2K) and 98941 (3K claims, $79.1K) show physical/functional treatment and spinal manipulation activity, while 92507 (1K claims, $61.2K), 90834 (439 claims, $27.7K) and 67028 (461 claims, $33.7K) point to speech/behavioral health and specialty ophthalmologic procedures being billed alongside primary care. This diversity suggests a multi‑service outpatient operation or a practice that bills a variety of commonly co‑delivered outpatient services.

Pediatric and preventive activity is prominent: large claim volumes and revenue for vaccine administration (90471: 6.3K claims, $100.9K; 90460: 2.7K claims, $99.6K) combined with EPSDT support (S0302: 1.4K claims, $19.3K) and well‑child visit codes (99392, 99391, 99393) indicate sustained engagement with child and adolescent Medicaid populations. These volumes place several vaccine and well‑visit codes in the upper percentiles statewide (e.g., 90471 at the 93rd percentile), reinforcing a substantial pediatric preventive footprint.

The provider has an established enrollment history, with its NPI enumerated on 2012-12-26 (~14 years ago), and the $4.5M in Medicaid revenue alongside sustained claim volumes across E/M, preventive, immunization, vision, and therapy codes suggests operational stability and a prolonged Medicaid market presence in Fargo, ND.

Medicaid: Complete Services Breakdown

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

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	27,340	$70	$1.9M
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…	11,950	$40	$501.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,470	$70	$225.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,090	$90	$177.7K
99204	The provider sees a new 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 provider…	1,900	$90	$174.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,010	$60	$171.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,920	$70	$130.7K
99203	The provider sees a new 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 provider…	2,420	$50	$111.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,310	$20	$100.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,690	$40	$99.6K

Showing 1–10 of 88

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 — 2 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

88 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…	11	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…	7	170	300	$100	$415.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	39	70	1,950	$60	$387K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	41	60	1,860	$60	$348.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12	60	130	$190	$242.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	10	640	$80	$184.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	20	230	$80	$151.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	39	80	400	$80	$133.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	117	140	390	$110	$129.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	7	20	210	$100	$126.6K

Showing 1–10 of 88

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
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Tadeu Ambros	FL	Medical Oncology Physician	$1.7M	$0

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