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.

Allison Hetland (NPI 1336412352)

Field	Value
Entity Type	Individual
Organization	Allison Hetland
Address	2400 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Family Medicine Physician
NPI Enumerated	February 22, 2012

Payer Source	Total Paid
Medicare	$22.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	110	$60	$7.1K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	130	$50	$7.1K
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	$80	$2.9K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	50	$40	$2.3K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	30	$30	$950
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	10	$60	$780
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,…	20	$40	$760
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$140
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.	10	$10	$120
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…	10	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Allison Hetland — 0 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,109	1,470	90	$60	$10.4K
98928	1	10	130	$50	$7.1K
99213	519	1,490	80	$50	$5.8K
80053	108	110	80	$10	$4.6K
36415	201	220	70	$10	$3.1K
85025	125	130	70	$10	$3K
98927	1	10	50	$40	$2.3K
99212	243	410	30	$30	$1.2K
98926	1	10	30	$30	$950
98929	2	10	20	$60	$850

Allison Hetland — Billing Profile & Reimbursement Data

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Allison Hetland — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References