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.

Anne Carlsen Center (NPI 1316117542)

Field	Value
Entity Type	Organization
Organization	Anne Carlsen Center
Address	701 3rd St Nw
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 4, 2008

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported lifetime fee-for-service revenue is from Medicaid, totaling $5.9M. The absence of Medicare activity indicates the organization’s operational footprint and reimbursement exposure are concentrated entirely within Medicaid programs.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 codes account for 100.0% of this provider’s Medicaid revenue, with two listed codes accounting for the full amount. This concentration means the provider’s financial performance is driven almost exclusively by a narrow set of billed services.

W0300 alone generates the largest share of Medicaid revenue with $4.1M (69.7% of this provider’s total Medicaid revenue). That code shows 13.6K claims at $301 avg paid/claim, and it ranks #2 of 13 providers in-state (92th percentile); the record also labels its standing as "typical, unremarkable volume for this code."

S5125 (S5125 – Attendant care services; per 15 minutes) comprises the remainder of reported Medicaid revenue with $1.8M (30.3% of this provider’s total Medicaid revenue). This code accounts for 12.8K claims at $139 avg paid/claim, and the provider ranks #7 of 18 in-state (65th percentile), also characterized as "typical, unremarkable volume for this code."

The listed code mix — a large share tied to S5125 (attendant care services) and a dominant W0300 entry with no description available — suggests the provider operates primarily in hands-on, community- or home-based personal/attendant care services under Medicaid rather than in Medicare-covered clinical procedures. The provider’s taxonomy as a Community/Behavioral Health Agency aligns with a service model focused on community support and personal care delivery.

From a competitive standpoint, the provider is a comparatively strong in-state performer on W0300 (rank #2 of 13) but a more modest participant on S5125 (rank #7 of 18). Both codes are labeled in the source data as "typical, unremarkable volume," indicating that while W0300 activity is relatively high versus peers, the overall volumes are not flagged as statistical extremes.

Operationally, the extreme revenue concentration in these Medicaid codes creates sensitivity to Medicaid rate changes, prior authorization policies, or program eligibility shifts that affect attendant- or community-based service lines. With $5.9M in Medicaid revenue coming almost entirely from W0300 and S5125, any payer-level or policy change targeting these services could materially affect the provider’s revenue base.

The provider has a long tenure in the NPI registry (enumerated 2008-03-04, ~18 years ago), which suggests established relationships with state Medicaid systems and continuity in billing patterns. That longevity, combined with concentrated Medicaid specialization, indicates the organization is a stable, niche Medicaid service provider rather than a diversified multi-payer medical group.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0300	N/A	13,640	$300	$4.1M
S5125	Attendant care services; per 15 minutes	12,850	$140	$1.8M

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

Anne Carlsen Center — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W0300	N/A	2	10	2,370	$630	$4M
S5125	Attendant care services; per 15 minutes	7	20	10,750	$180	$2.7M

Nearby Providers

Other providers in the same ZIP code as Anne Carlsen Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Early Intervention Provider Agency	$0	$28.6M
Alpha Opportunities Inc.	ND	Community/Behavioral Health Agency	$0	$20.3M
Anne Carlsen Center For Children	ND	Community/Behavioral Health Agency	$0	$13.2M
Triumph, Inc.	ND	Community/Behavioral Health Agency	$0	$10.9M
Lutheran Charity Association	ND	Critical Access Hospital	$0	$4M
South Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
T & K Early Intervention	ND	Early Intervention Provider Agency	$0	$3M
Anne Carlsen Center	ND	Physical Therapist	$0	$2.2M
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M

Anne Carlsen Center — Billing Profile & Reimbursement Data

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Anne Carlsen Center — 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

Nearby Providers

Frequently Asked Questions

References