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 Bismarck (NPI 1396828547)

Field	Value
Entity Type	Organization
Organization	Sanford Bismarck
Address	#10 N River Rd
City	Fort Yates
State	ND
ZIP	58538
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	9,660	$100	$927.6K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	100	$1,600	$161.8K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1,040	$30	$32.3K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	650	$50	$29.2K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	270	$10	$2.2K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	700	$1	$2.1K
Q3014	Telehealth originating site facility fee	90	$10	$870
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	270	$1	$820
84460	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…	680	$1	$680
J1644	Injection, heparin sodium, per 1000 units	670	$1	$670

Showing 1–10 of 28

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 Bismarck — 0 of 22 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	6	10	10,020	$70	$1.2M
Q3014	Telehealth originating site facility fee	15	30	130	$180	$355.8K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	4	10	1,130	$20	$52.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2	10	1,040	$40	$47.8K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	4	10	420	$100	$40.8K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	11	20	170	$20	$33K
84295	The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood.	3	10	1,750	$10	$15K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	9	10	510	$10	$14.9K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	13	20	320	$10	$14K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	10	20	120	$10	$9.9K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Bismarck, 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 Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
Sanford Bismarck	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Robert Reynolds	ND	Radiation Oncology Physician	$1.4M	$0
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$771.3K
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Yates Indian Health Service Hospital	ND	Critical Access Hospital	$0	$10M
Standing Rock Sioux Tribe	ND	Land Ambulance	$217.4K	$5.5M
Standing Rock Early Childhood Tracking Program	ND	Early Intervention Provider Agency	$0	$70.1K
Carrie Meckle	ND	Family Nurse Practitioner	$44.2K	$0

Sanford Bismarck — Billing Profile & Reimbursement Data

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Sanford Bismarck — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References