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.

Misty Anderson (NPI 1417109760)

Field	Value
Entity Type	Individual
Organization	Misty Anderson
Address	520 Chautauqua Blvd
City	Valley City
State	ND
ZIP	58072
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 17, 2008

Payer Source	Total Paid
Medicare	$221.9K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the public programs: lifetime Medicare revenue is $221.9K while total Medicaid revenue is listed as none (no Medicaid billing on file), indicating Medicare dominates this provider’s government payer mix. Analysts should treat Medicaid comparatives as not applicable when evaluating this NPI.

Revenue is highly concentrated in a small set of Medicare services: the top three Medicare codes (99214, J0897, and G0439) account for 62.5% of the provider’s total Medicare revenue. The three highest-revenue line items by dollar value are 99214 ($67.8K), J0897 ($55.1K), and G0439 ($9.7K), which together drive most of the Medicare earnings.

The code mix and top revenue drivers point to an ambulatory internal medicine practice with a strong emphasis on moderate-complexity established office visits and routine injectable therapy. Code 99214 (837 claims) is the single largest revenue generator and, together with frequent lab codes (e.g., 36415, 85025, 80048, 80061) and vaccine administration codes (90662, G0008, 91320), suggests a practice model built around longitudinal chronic disease management, in-office procedures, and preventive care.

99214 is a clear competitive outlier for this NPI: it ranks #17593 of 479517 providers nationally (96th percentile; notably above typical national volume), which indicates this provider sees an unusually high volume of moderate-complexity established patient visits relative to peers. That elevated 99214 volume is the most distinctive market signal in the Medicare profile.

By contrast, the provider’s denosumab administration (J0897) and annual wellness visits (G0439) show typical national participation rather than market leadership. J0897 reports 3.1K claims and $55.1K in revenue but ranks #4470 of 10057 providers nationally (55th percentile; typical, unremarkable volume), while G0439 (76 claims, $9.7K) ranks #43524 of 105855 providers nationally (58th percentile; typical, unremarkable volume), indicating routine use rather than dominance in these services.

Several point-of-care laboratory and diagnostic codes appear repeatedly in the top-25 list (36415, 85025, 80048, 80061, 80053, 83036), indicating consistent on-site phlebotomy and routine testing tied to office visits. These lab services each contribute smaller shares individually but collectively support a practice workflow that integrates testing with ambulatory E/M visits and vaccine administration.

There is evidence the practice also manages institutional and transitional care services in addition to office-based work: nursing facility codes 99309 and 99308, hospital follow-up and discharge codes 99232, 99239, 99222, and the transition-of-care code 99496 are all present in the top-25 list. This mix suggests the provider cares for patients across site-of-service boundaries (office, nursing facility, inpatient transitions), broadening clinical touchpoints beyond routine clinic visits.

The NPI enumeration date is 2008-10-17 (~18 years ago), which indicates a long-tenured billing history. Despite this tenure, lifetime Medicare revenue of $221.9K is modest in absolute terms, consistent with a small independent practice, a limited Medicare patient panel, or focused service lines rather than a high-revenue multispecialty group.

Medicare: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	840	$80	$67.8K
J0897	Injection, denosumab, 1 mg	3,060	$20	$55.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$130	$9.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	110	$70	$7.7K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	90	$70	$6.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	120	$50	$6K
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…	120	$50	$5.8K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	40	$130	$5K
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…	70	$60	$4.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	490	$10	$3.9K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Misty Anderson — 1 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

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	13	40	1,920	$20	$61.8K
93306	43	60	180	$50	$19K
99309	40	100	70	$70	$14.7K
91320	33	90	30	$130	$14.4K
99233	254	290	60	$90	$11.9K
99214	29	1,470	90	$60	$10.4K
99232	279	560	70	$60	$10K
99308	25	90	50	$50	$8.7K
99239	136	210	60	$90	$7.3K
G0439	89	270	50	$100	$6.9K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Misty Anderson, 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 Misty Anderson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Open Door Center	ND	Community/Behavioral Health Agency	$0	$51.1M
Innovis Health, LLC	ND	Family Medicine Physician	$0	$752.9K
Barnes County Ambulance Inc	ND	Paramedic	$299.2K	$326.1K
Bridge City Dentistry P.C.	ND	General Practice Dentistry	$0	$351.6K
Mercy Hospital Of Valley City	ND	Critical Access Hospital	$0	$279.2K
City County Health District	ND	Public Health or Welfare Agency	$149K	$59.5K
Genevieve Goven	ND	Family Medicine Physician	$126.8K	$0
Ashley Horner	ND	Family Medicine Physician	$101.5K	$0
Tanya Diegel	ND	Family Medicine Physician	$92.7K	$0
South Central Adult Services Council Inc.	ND	In Home Supportive Care Agency	$0	$68.5K

Misty Anderson — Billing Profile & Reimbursement Data

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Misty Anderson — 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