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    OpenPayerNPI Medicare & MedicaidMisty Falcon
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    Misty Falcon — Billing Profile & Reimbursement Data

    NPI 1417983164 · Williston, ND · Family Nurse Practitioner

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    Misty Falcon is a family nurse practitioner provider located in Williston, North Dakota. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMisty Falcon
    Address3 4th St E
    CityWilliston
    StateND
    ZIP58801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJune 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$13K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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$5.3K
    99214The 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…40$80$2.8K
    99212The 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,…20$30$790
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…50$20$770
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.80$10$650
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.60$10$640
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.50$10$610
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…60$10$490
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…40$10$410
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…50$10$230

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1001,47090$60$10.4K
    84443346060$20$7.9K
    992134971,49080$50$5.8K
    800536211080$10$4.6K
    800616410060$10$4.1K
    3641510522070$10$3.1K
    850257113070$10$3K
    830365910050$10$2.3K
    8257093030$10$1.4K
    9921221441030$30$1.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Medical CenterNDCritical Access Hospital$0$4M
    Mercy Medical CenterNDClinic/Center$0$1.3M
    Mercy Medical CenterNDEmergency Medicine Physician$0$555.2K
    Reed SmithCODiagnostic Radiology Physician$493.2K$0
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    Trudi ParkerMNDiagnostic Radiology Physician$317.2K$0
    Jaclyn AndrickIADiagnostic Radiology Physician$249.7K$0
    Michael RoganMNDiagnostic Radiology Physician$245K$0
    David HollanderCODiagnostic Radiology Physician$237K$0
    Trenton Indian Service AreaNDClinic/Center$0$234.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Opportunity Foundation IncNDDevelopmentally Disabled Services Day Training Agency$0$26.3M
    Medscan Laboratory IncNDClinical Medical Laboratory$7.2M$14.8M
    City Of WillistonNDLand Ambulance$398.3K$2M
    Opportunity Foundation IncNDEarly Intervention Provider Agency$0$1.8M
    Mark RaymondNDOphthalmology Physician$1.7M$0
    Summit Counseling IncNDMental Health Clinic/Center (Including Community Mental Health Center)$0$1.2M
    Northwest Behavioral Health ClinicNDAdult Mental Health Clinic/Center$0$872.7K
    Nathan SmithNDPediatric Dentistry$0$712.5K
    Ideal Option, PLLCNDClinic/Center$0$690.9K
    The Fred And Clara Eckert Foundation For ChildrenNDSubstance Use Disorder Rehabilitation Clinic/Center$0$447.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Misty Falcon — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota