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.

Sanford Health Network North (NPI 1366478760)

Field	Value
Entity Type	Organization
Organization	Sanford Health Network North
Address	600 1st St Se
City	Mayville
State	ND
ZIP	58257
Taxonomy	Family Medicine Physician
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$143.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	2,020	$70	$141.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	60	$20	$1.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	30	$1	$90

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

Sanford Health Network North — 0 of 3 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

3 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…	46	210	360	$100	$498.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	75	100	170	$20	$34.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	62	70	100	$1	$3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Health Network North, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Medical Center Fargo	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Sanford Medical Center Fargo	ND	Home Health Agency	$0	$1M

Nearby Providers

Other providers in the same ZIP code as Sanford Health Network North, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Traill Ambulance Service, Inc	ND	Land Ambulance	$86.9K	$0
Michael Rexine	ND	Optometrist	$65.7K	$0
Goose River Dental Assoc., PC	ND	General Practice Dentistry	$0	$63.1K
James Mehus	ND	Internal Medicine Physician	$55.2K	$0
Michael Rexine Od PC	ND	Optometrist	$0	$42.1K
Jane Ostlie	ND	Family Medicine Physician	$37K	$0
Sanford Health Network North	ND	Critical Access Hospital	$0	$3.2K

Sanford Health Network North — Billing Profile & Reimbursement Data

Sign up for Sanford Health Network North — Billing Profile & Reimbursement Data policy alerts

Sanford Health Network North — Billing Profile & Reimbursement Data

Sign up for Sanford Health Network North — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References