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.

Kirsten Peterson (NPI 1285636423)

Field	Value
Entity Type	Individual
Organization	Kirsten Peterson
Address	407 Washington Ave E
City	Finley
State	ND
ZIP	58230
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicare	$225.8K
Medicaid	$0

Key Findings

This provider is an internal medicine physician whose Medicare billing mix is dominated by office E/M visits and drug administration: 99214 (997 claims, $89 avg paid/claim, $88.7K revenue, 39.7%) is the largest single code, followed by J0897 (2.6K claims, $18 avg paid/claim, $46.4K revenue, 20.8%) and G0439 (148 claims, $128 avg paid/claim, $18.9K revenue, 8.5%). The code mix points to a traditional primary-care panel of established patients with a substantial on-site injectable drug service rather than a procedurally focused specialty practice.

Revenue is highly concentrated in a very small number of services: the precomputed top-3 Medicare codes account for 68.9% of this provider's total Medicare revenue. With lifetime Medicare revenue of $225.8K, that concentration indicates the practice’s financial profile is heavily reliant on a few high-revenue services rather than a broad spread of billings.

Payer mix is effectively single-payer Medicare: total Medicare lifetime revenue is $225.8K and there is no Medicaid billing on file. Analysts should treat this provider as Medicare-dependent for historical billing activity and expect little to no Medicaid exposure in comparative networks.

Competitive standing varies by service line. For office visits the provider ranks highly — 99214 is ranked #11529 of 479517 providers nationally (98th percentile; notably above typical national volume for this code) — indicating an above-typical national presence for moderate-complexity established visits, while J0897 ranks #5089 of 10057 (48th percentile; typical, unremarkable volume) and G0439 ranks #20008 of 105855 (81th percentile; typical, unremarkable volume), so the denosumab administration appears ordinary by national comparison whereas annual wellness visits are delivered at modestly elevated levels.

The presence of J0897 as the second-largest revenue source (2.6K claims, $46.4K revenue, 20.8%) signals a substantive in-office injectable medication program consistent with osteoporosis or biologic therapy administration. This suggests operational capacity for drug handling and repeated patient encounters for injections, and it complements the E/M-driven workflow rather than replacing it.

Preventive-care services are a meaningful component of the practice: G0439 (148 claims, $18.9K revenue, 8.5%) and G0438 (50 claims, $164 avg paid/claim, $8.2K revenue, 3.7%) show both subsequent and initial annual wellness visits billed, with G0438 ranked #1320 of 17441 (92th percentile; typical, unremarkable volume) — indicating regular delivery of Medicare AWVs alongside problem-focused visits.

The provider also performs routine in-office testing and specimen collection consistent with a comprehensive outpatient practice: lab and phlebotomy codes such as 80061 (390 claims, $5.1K revenue, 2.3%), 85025 (508 claims, $4.1K revenue, 1.8%), 80053 (387 claims, $3.9K revenue, 1.7%) and 36415 (465 claims, $3.7K revenue, 1.7%) appear among top billings. These entries support an operational model that manages chronic disease monitoring and point-of-care lab workflows in-house.

This NPI has long tenure on file (NPI enumerated 2005-06-01, ~21 years ago), which supports the interpretation of an established, stable outpatient practice. That said, lifetime Medicare revenue of $225.8K over this tenure is modest in scale, reinforcing that the provider operates a small, Medicare-centered practice rather than a high-revenue regional center.

Medicare: Complete Services Breakdown

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

32 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…	1,000	$90	$88.7K
J0897	Injection, denosumab, 1 mg	2,580	$20	$46.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	$130	$18.9K
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…	240	$60	$14.5K
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…	100	$100	$9.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	$160	$8.2K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	390	$10	$5.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	510	$10	$4.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	390	$10	$3.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	470	$10	$3.7K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Kirsten Peterson — 4 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. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	15	40	1,920	$20	$61.8K
91320	83	90	30	$130	$14.4K
99214	17	1,470	90	$60	$10.4K
G0439	29	270	50	$100	$6.9K
99215	328	480	40	$100	$6.9K
0240U	4	10	10	$140	$6.1K
99213	202	1,490	80	$50	$5.8K
90480	125	160	60	$40	$5.1K
90662	100	190	40	$70	$5.1K
80053	13	110	80	$10	$4.6K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Medical Center Fargo	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M

Kirsten Peterson — 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

Frequently Asked Questions

References