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.

Donald Stallman (NPI 1386665503)

Field	Value
Entity Type	Individual
Organization	Donald Stallman
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 22, 2006

Payer Source	Total Paid
Medicare	$610.1K
Medicaid	$0

Key Findings

DONALD STALLMAN is a Diagnostic Radiology Physician in FARGO, ND with reported Medicare revenue of $610.1K and no Medicaid billing on file, making this practice effectively single‑payer (Medicare) in the available claims data. The NPI was enumerated 2006-07-22 (~20 years ago), indicating a long-tenured presence in the market that aligns with sustained billing activity across multiple imaging modalities.

Revenue is highly concentrated in a small set of screening and diagnostic imaging services: the top three Medicare codes account for 52.2% of total Medicare revenue, led by 77067 at $175.3K (34.4%), followed by 77063 at $46K (9.0%) and 77080 at $45K (8.8%). This concentration signals that a majority of Medicare dollars for this provider are driven by breast imaging and bone density services.

The code mix points to a core business centered on high-volume breast imaging and screening workflows: 77067 and 77063 together represent both conventional mammography and tomosynthesis activity, while 77080 shows large DXA volume. These procedures, combined with numerous high-volume plain radiography codes, suggest an operation functioning as an outpatient imaging service or radiology practice with a strong emphasis on preventive and diagnostic imaging.

Competitive standing for the top screening codes is strong: 77067 ranks #334 of 15198 providers nationally (98th percentile; notably above typical national volume) and 77063 ranks #310 of 14277 providers nationally (98th percentile; notably above typical national volume). 77080 is an extreme outlier at rank #16 of 17308 providers (100th percentile), indicating nationally exceptional DXA volume relative to peers.

Beyond breast and bone density services, the provider reports unusually high volumes of plain radiography across multiple anatomic sites. Codes such as 73562 (knee X‑rays, $23.1K, 4.5%), 71046 (chest X‑rays, $22.4K, 4.4%), 73502 (hip X‑rays, $15K, 2.9%), 73030 (shoulder X‑rays, $11.5K, 2.3%), 73630 (foot X‑rays, $10.1K, 2.0%) and several spine/limb X‑ray codes are labeled as extreme outliers or 100th percentile, consistent with very high throughput for basic radiography services.

The provider also offers advanced cross-sectional and nuclear imaging but at more modest relative volumes: 78815 (PET/CT) generated $30.6K (6.0%) and ranks #437 of 6566 (93rd percentile; notably above typical national volume), while CT abdomen/pelvis codes such as 74177 and 74176 show more typical national volumes (70th–72nd percentiles). This pattern indicates supplemental advanced imaging capability rather than primary revenue drivers.

Because Medicaid billing is absent ("none below"), payer mix is heavily Medicare-dependent; the practice’s topline and operational exposure will be more sensitive to Medicare reimbursement policy and screening guideline changes than to Medicaid rate shifts. The lack of Medicaid activity also suggests limited engagement with lower‑income or non‑Medicare populations in the claims observed, which has implications for referral networks and contracting strategies.

Taken together, the long tenure (NPI enumerated 2006-07-22 (~20 years ago)), highly concentrated Medicare revenue (top three codes = 52.2%), nationally high percentiles on mammography and DXA (including an extreme outlier for 77080), and many extreme‑outlier plain radiography codes point to an established, high-volume outpatient imaging operation with strong screening throughput and supplemental advanced imaging services, but with concentrated payer risk due to no Medicaid billing on file.

Medicare: Complete Services Breakdown

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,850	$100	$175.3K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	1,840	$30	$46K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	3,460	$10	$45K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	360	$90	$30.6K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,050	$20	$23.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,600	$10	$22.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	180	$110	$19.2K
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	620	$20	$15K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	240	$50	$12.5K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	110	$110	$12K

Showing 1–10 of 90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 90 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Donald Stallman — 14 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. state median

90 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78815	3	30	70	$260	$27.1K
77067	1	70	360	$50	$23.5K
77063	1	60	340	$30	$13.1K
74177	17	70	110	$70	$9.7K
78431	6	10	100	$60	$6.9K
78452	10	40	60	$60	$5.3K
70450	44	60	160	$30	$4.9K
72148	35	50	60	$60	$4.9K
74176	7	60	60	$60	$4.3K
71250	5	60	90	$40	$3.9K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Donald Stallman, 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	Rural Acute Care Hospital	$0	$47.6M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
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

Nearby Providers

Other providers in the same ZIP code as Donald Stallman, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K
Positive Psychological Initiatives LLC	ND	Psychologist	$0	$392.6K

Donald Stallman — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References