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.

Jantey Carey (NPI 1396181509)

Field	Value
Entity Type	Individual
Organization	Jantey Carey
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Hospitalist Physician
NPI Enumerated	May 14, 2013

Payer Source	Total Paid
Medicare	$450.3K
Medicaid	$0

Key Findings

JANTEY CAREY (Hospitalist Physician, Fargo, ND) bills predominantly for inpatient evaluation-and-management services: the top procedures are 99232, 99233 and 99223, and the broader code mix (including 99239 and occasional G0316) is consistent with a hospitalist workflow focused on initial and subsequent inpatient encounters and discharge-day management rather than outpatient office visits. The presence of both initial high-complexity visits (99223) and multiple levels of subsequent visit codes suggests care for a range of inpatient acuity levels.

Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top 3 Medicare codes account for 90.0% of this provider's total Medicare revenue, driven by 99232 ($246.7K, 54.6%), 99233 ($85.8K, 19.0%), and 99223 ($74K, 16.4%). This concentration means the provider's Medicare performance and financial profile are effectively determined by utilization of these few hospital-based E/M services.

This provider is effectively single-payer in the available data: total Medicare revenue is $450.3K and there is no Medicaid billing on file. The absence of any Medicaid billing on file indicates the provider's recorded public-payer exposure in these datasets is dominated by Medicare rather than a mixed Medicare/Medicaid practice.

For code 99232 the provider is a national volume outlier: 4K claims produced $246.7K in revenue (54.6% of Medicare revenue) and the code ranks #223 of 177383 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This level of volume on a single subsequent inpatient E/M code indicates a substantial role in ongoing inpatient care relative to national peers and represents the single largest revenue driver for this provider.

The provider also shows elevated national standing on other high-acuity inpatient codes: 99233 generated $85.8K (19.0%) with 923 claims and ranks #2252 of 128818 (98th percentile; notably above typical national volume), while 99223 produced $74K (16.4%) with 548 claims and ranks #514 of 139583 (100th percentile; extreme outlier, far above typical national volume). Together these rankings indicate strong relative volume for both high-complexity initial and high-complexity subsequent inpatient services compared with national peers.

Discharge management and prolonged service billing are present but secondary: 99239 accounts for $38.9K (8.6%) and ranks #199 of 62398 (100th percentile; extreme outlier, far above typical national volume), while G0316 is minimal at $576 (0.1%). In practice this pattern points to frequent involvement in inpatient discharge-day management and occasional reporting of prolonged inpatient E/M time, though prolonged services make up a trivial share of total Medicare revenue.

The provider has an established enrollment history (NPI enumerated 2013-05-14, ~13 years ago), which combined with sustained, concentrated inpatient E/M billing suggests a stable hospitalist practice rather than a newly forming billing pattern. Analysts should interpret the high-volume E/M profile as the product of long-running inpatient activity rather than a short-term spike.

For payers, network managers, and contracting teams, the combination of a Medicare-only billing footprint and very high concentration in a few inpatient E/M codes (90.0% tied to the top three) signals that utilization management or contract negotiations should prioritize inpatient E/M patterns and discharge-day workflows. Because Medicaid is absent, any state Medicaid strategies or risk-sharing arrangements would have limited immediate applicability to this provider based on the available billing records.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,980	$60	$246.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	920	$90	$85.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	550	$140	$74K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	440	$90	$38.9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$60	$1.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	30	$60	$1.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.1K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	20	$20	$580

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Jantey Carey — 4 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	3	290	60	$90	$11.9K
99232	1	560	70	$60	$10K
99223	1	330	40	$130	$8.9K
99239	2	210	60	$90	$7.3K
99222	365	440	30	$100	$3.8K
99231	162	260	40	$40	$2.5K
99238	80	180	20	$60	$2K
99221	22	90	20	$60	$1.6K
G0316	8	10	30	$20	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jantey Carey, 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 Jantey Carey, 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
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K
Positive Psychological Initiatives LLC	ND	Psychologist	$0	$392.6K

Jantey Carey — 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