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.

Good Samaritan Hospital Association (NPI 1437258969)

Good Samaritan Hospital Association is a critical access hospital provider located in Rugby, North Dakota. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Good Samaritan Hospital Association
Address	2975 Highway 2 E
City	Rugby
State	ND
ZIP	58368
Taxonomy	Critical Access Hospital
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$376K
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	930	$140	$129.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	490	$180	$89.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	530	$130	$67.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	700	$60	$38.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	40	$240	$8.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	400	$20	$6.9K
85025	A 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…	820	$10	$5.8K
80053	The 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.	540	$10	$4.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	30	$140	$4.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,180	$1	$3.5K

Showing 1–10 of 32

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

Good Samaritan Hospital Association — 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. North Dakota median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28	30	1,280	$180	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	29	50	670	$150	$829.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	50	70	1,950	$60	$387K
Q3014	Telehealth originating site facility fee	18	30	130	$180	$355.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11	30	450	$110	$198.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	29	30	360	$30	$94.6K
80053	The 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.	26	50	630	$10	$49.4K
84443	The 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…	20	20	320	$10	$32K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	9	10	260	$40	$24.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	90	400	$1	$20.7K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospital Association	ND	Family Medicine Physician	$0	$1M
Good Samaritan Hospital Association	ND	Family Medicine Physician	$0	$365.4K
Courtney Whitney	MN	Sleep Medicine (Internal Medicine) Physician	$67.6K	$4.3K
Good Samaritan Hospital Association	ND	Emergency Medicine Physician	$0	$33.3K
Jeffrey Adams	UT	Physician Assistant	$25.1K	$0
Laura Filler	ND	Certified Registered Nurse Anesthetist	$23.2K	$0
Jerel Brandt	ID	Surgery Physician	$18.6K	$0
Bobbie Burchinal	ND	Family Nurse Practitioner	$13.3K	$0
Scott Rigdon	OR	Certified Registered Nurse Anesthetist	$12.4K	$0
Kathy Brandt	ND	Registered Dietitian	$1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rugby Dental Office, P.C.	ND	Dental Clinic/Center	$0	$266.2K
Mkl LLC	ND	Home Health Agency	$0	$224.4K
Nodak Security Alarm Enterprises LLC	ND	Emergency Response System Companies	$0	$152.9K
Sara L Kleven Dds PC	ND	Dental Clinic/Center	$0	$105.9K
Jeffrey Vaagen	ND	Family Medicine Physician	$44.1K	$0
White Drug Co Of Jamestown Inc	ND	Community/Retail Pharmacy	$40.5K	$0
Brian Selland	ND	Family Medicine Physician	$34.4K	$0
Jordan Backstrom	ND	Physical Therapist	$33K	$0
Tobias Mccabe	ND	Chiropractor	$17.4K	$0

Good Samaritan Hospital Association — Billing Profile & Reimbursement Data

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Good Samaritan 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

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