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.

Pembina County Memorial Hospital Association (NPI 1417093949)

Field	Value
Entity Type	Organization
Organization	Pembina County Memorial Hospital Association
Address	301 Mountain St E
City	Cavalier
State	ND
ZIP	58220
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$170.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	1,400	$80	$114.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	390	$90	$33K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	530	$30	$13.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	140	$60	$8.6K
99334	N/A	30	$40	$1.2K

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

Pembina County Memorial Hospital Association — 1 of 5 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

5 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…	53	210	360	$100	$498.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	103	170	300	$100	$415.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	19	60	130	$190	$242.5K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	2	20	80	$20	$4.2K
99334	N/A	1	10	30	$30	$760

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pembina County Memorial Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Bradley Close	MN	Diagnostic Radiology Physician	$397.3K	$0
Ashley Anderson	MN	Diagnostic Radiology Physician	$279.7K	$0
Adetola Haastrup	ND	Nephrology Physician	$257.5K	$0
Benjamin Meyer	MN	Diagnostic Radiology Physician	$255.9K	$0
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0
Assefa Ayalew	MN	Diagnostic Radiology Physician	$239.7K	$0

Nearby Providers

Other providers in the same ZIP code as Pembina County Memorial Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cavalier Ambulance Service, Inc	ND	Ambulance	$142.1K	$0
County Of Pembina	ND	Public Health or Welfare Agency	$26.3K	$7.3K
Stevens Dental Group	ND	General Practice Dentistry	$0	$7.9K
Pembina County Memorial Hospital Association	ND	Critical Access Hospital	$0	$6.9K
Allred Dental PC	ND	Dental Clinic/Center	$0	$6.4K

Pembina County Memorial Hospital Association — Billing Profile & Reimbursement Data

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Pembina County Memorial Hospital Association — 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