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.

4th Corporaiton (NPI 1295335495)

Field	Value
Entity Type	Organization
Organization	4th Corporaiton
Address	120 11th Street North
City	New Rockford
State	ND
ZIP	58356
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 27, 2020

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0715	N/A	2,270	$420	$950.7K
T2021	Day habilitation, waiver; per 15 minutes	3,770	$120	$467.4K
W0200	N/A	50	$2,230	$120.5K
W0700	N/A	260	$20	$3.8K

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

4th Corporaiton — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	25	30	32,410	$170	$6.6M
W0715	N/A	25	30	6,250	$450	$3.8M
W0700	N/A	15	20	3,430	$280	$1.2M
W0200	N/A	25	30	200	$1,670	$454.3K

Nearby Providers

Other providers in the same ZIP code as 4th Corporaiton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Central Center For Exceptional Children	ND	Student Health Clinic/Center	$0	$59.2K
Community Ambulance Service Of New Rockford	ND	Ambulance	$54.2K	$0
Michael Nicolai	ND	Chiropractor	$33.1K	$0
Melissa Ystaas	ND	Physical Therapist	$29.1K	$0
Nicolai Chiropractic Center, P.C.	ND	Chiropractor	$0	$27.5K
Carrington Health Center	ND	Rural Health Clinic/Center	$0	$20.4K
James River Dentistry, P.C.	ND	General Practice Dentistry	$0	$11.6K

4th Corporaiton — Billing Profile & Reimbursement Data

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4th Corporaiton — Billing Profile & Reimbursement Data

Sign up for 4th Corporaiton — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References