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.

University Of North Dakota (NPI 1316008238)

Field	Value
Entity Type	Organization
Organization	University Of North Dakota
Address	1201 11th Ave Sw
City	Minot
State	ND
ZIP	58701
Taxonomy	Family Medicine Physician
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 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…	10,600	$70	$752.2K
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…	4,690	$120	$562.8K
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…	190	$80	$14.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	5,090	$1	$10.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$50	$6.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	130	$30	$4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	320	$10	$3.5K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	260	$10	$1.6K
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.	250	$10	$1.5K
99443	N/A	20	$80	$1.4K

Showing 1–10 of 27

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

University Of North Dakota — 0 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

27 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…	14	210	360	$100	$498.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	21	30	460	$50	$423.5K
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…	18	170	300	$100	$415.8K
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,…	56	60	130	$190	$242.5K
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…	22	40	190	$110	$99K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	13	20	470	$40	$77.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11	10	340	$50	$62.9K
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.	34	50	630	$10	$49.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	39	40	210	$20	$37.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	35	100	170	$20	$34.7K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of North Dakota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Dakota	ND	Family Medicine Physician	$0	$523.3K
Patrick Evans	ND	Family Medicine Physician	$81.4K	$0
Jeffrey Hostetter	ND	Family Medicine Physician	$69.9K	$0
Chittaranjan Routray	ND	Hospitalist Physician	$69.2K	$0
David Field	ND	Family Medicine Physician	$66.3K	$0
Vishal Chhibber	ND	Family Medicine Physician	$59.8K	$0
Paul Olson	ND	Emergency Medicine Physician	$53.9K	$0
Christopher Irmen	ND	Family Medicine Physician	$53.2K	$0
Wade Talley	ND	Emergency Medicine Physician	$50.1K	$0
Gilbert Falcon	ND	Family Medicine Physician	$49.4K	$0

Nearby Providers

Other providers in the same ZIP code as University Of North Dakota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$83.6M
Rem North Dakota	ND	Community/Behavioral Health Agency	$0	$72.7M
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Trinity Hospitals	ND	General Acute Care Hospital	$0	$7.4M
North Central Behavioral Health Clinic	ND	Clinic/Center	$0	$7M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$6.7M
Doughboy Pediatric Dental Group	ND	Pediatric Dentistry	$0	$5.6M
Trinity Hospitals	ND	Land Ambulance	$0	$3.5M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$2.1M
First District Health Unit	ND	Clinic/Center	$785.3K	$403.2K

University Of North Dakota — Billing Profile & Reimbursement Data

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University Of North Dakota — 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