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.

Great Plains Restorative Services, LLC (NPI 1366120057)

Field	Value
Entity Type	Organization
Organization	Great Plains Restorative Services, LLC
Address	1212 E Main Ave
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 11, 2023

Payer Source	Total Paid
Medicaid	$107.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	550	$150	$83.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	360	$30	$9.8K
E0601	Continuous positive airway pressure (CPAP) device	70	$70	$4.8K
E1392	Portable oxygen concentrator, rental	290	$10	$3.2K
A7030	Full face mask used with positive airway pressure device, each	30	$60	$1.5K
E0562	Humidifier, heated, used with positive airway pressure device	60	$20	$1.4K
A7031	Face mask interface, replacement for full face mask, each	40	$30	$1.2K
A7038	Filter, disposable, used with positive airway pressure device	300	$1	$910
E0570	Nebulizer, with compressor	40	$20	$700
A7035	Headgear used with positive airway pressure device	50	$10	$580

Showing 1–10 of 12

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

Great Plains Restorative Services, LLC — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	8	10	1,170	$90	$201.3K
E0601	Continuous positive airway pressure (CPAP) device	13	20	1,010	$50	$78.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16	20	1,240	$40	$78K
A7030	Full face mask used with positive airway pressure device, each	11	10	270	$100	$55.2K
A7031	Face mask interface, replacement for full face mask, each	11	10	650	$40	$45.9K
E0562	Humidifier, heated, used with positive airway pressure device	14	20	630	$20	$24.2K
E1392	Portable oxygen concentrator, rental	7	10	380	$20	$16K
A7035	Headgear used with positive airway pressure device	12	10	570	$20	$14.5K
E0570	Nebulizer, with compressor	14	20	180	$30	$13.1K
A7038	Filter, disposable, used with positive airway pressure device	12	10	1,460	$1	$8.6K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Great Plains Restorative Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Great Plains Restorative Services, LLC — Billing Profile & Reimbursement Data

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Great Plains Restorative Services, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References