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.

David Mathison (NPI 1295847861)

Field	Value
Entity Type	Individual
Organization	David Mathison
Address	401 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Family Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$67.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,510	$30	$37.8K
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…	300	$60	$18.5K
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…	40	$100	$4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	30	$100	$2.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	40	$50	$1.7K
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,…	40	$40	$1.6K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	30	$20	$520
J3489	Injection, zoledronic acid, 1 mg	60	$10	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

David Mathison — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	1	10	1,510	$30	$38.1K
96413	6	10	40	$100	$17.2K
99214	1,061	1,470	90	$60	$10.4K
96365	9	20	40	$50	$6.3K
99213	132	1,490	80	$50	$5.8K
96415	5	10	30	$20	$1.7K
99212	121	410	30	$30	$1.2K
J3489	3	10	60	$10	$430

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Kevin Chaussee	ND	Nurse Practitioner	$598K	$0
Robert Tanous	ND	Internal Medicine Physician	$525.2K	$0
Laura Fuerstenberg	ND	Nurse Practitioner	$466.5K	$0
Muhammad Sethi	AZ	Endocrinology, Diabetes & Metabolism Physician	$332.4K	$0
Shelly Seifert	ND	Family Medicine Physician	$238.2K	$0
Julia Schwartz	ND	Internal Medicine Physician	$207.2K	$0
Matthew Hamar	ND	Family Medicine Physician	$205.6K	$0
Megan Strand	ND	Dermatology Physician	$190.9K	$0
Andrew Knudsen	ND	Foot & Ankle Surgery Podiatrist	$176.5K	$0

David Mathison — Billing Profile & Reimbursement Data

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David Mathison — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References