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.

Mark Rodacker (NPI 1437261724)

Field	Value
Entity Type	Individual
Organization	Mark Rodacker
Address	222 N 7th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Clinical Pathology/Laboratory Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$378.3K
Medicaid	$0

Key Findings

This provider is a long-established clinical pathology/laboratory medicine NPI, enumerated 2006-08-31 (~20 years ago), indicating an ongoing presence in the Medicare lab market rather than a recent entrant. The tenure combined with continuous claims activity suggests sustained laboratory service delivery over multiple Medicare enrollment cycles.

The provider’s lifetime Medicare revenue is $378.3K and there is no Medicaid billing on file, so payer exposure is effectively single‑payer Medicare; the practice appears to operate almost entirely within the Medicare beneficiary population rather than servicing Medicaid.

Revenue concentration is high: a precomputed 50.6% of this provider’s Medicare revenue comes from the top three codes, driven by routine laboratory testing and specimen collection. The specific top contributors are 85025 (8K claims, $64.3K revenue, 17.2%), 80053 (6.4K claims, $63.9K revenue, 17.1%), and 36415 (7.6K claims, $61.2K revenue, 16.3%), which together make up just over half of total Medicare revenue.

The code mix (85025, 80053, 36415 and other high-volume chemistry/hematology CPTs such as 80061, 83036, 80048) indicates a business model centered on high-volume outpatient phlebotomy and routine lab panels (CBC, CMP, lipid panel, A1C, BMP). Inclusion of P9604 (532 claims, $1.1K revenue) for a travel allowance and frequent venipuncture coding suggests the provider also performs or bills for home- or nursing‑home specimen collection in addition to stationary draws.

Competitive standing for routine lab services is strong at the national level: 85025 ranks #238 of 32833 providers nationally (99th percentile; typical, unremarkable volume for this code), 80053 ranks #278 of 26416 (99th percentile; typical, unremarkable volume), and 36415 ranks #266 of 86467 (100th percentile; typical, unremarkable volume). These percentile ranks show the provider files very high claim counts for common lab services compared with peers, consistent with a focused, volume-driven routine lab operation rather than a niche specialty lab.

Among less common/high-paid tests, the provider occupies notable positions: 0240U generated $29.9K (215 claims, $139 avg) and ranks #11 of 184 providers nationally (95th percentile), indicating a relatively prominent role among the small set of providers billing that code; 0241U also appears ($10.5K, 75 claims) at a 91st-percentile rank, implying selective use of higher‑reimbursement molecular/other specialty tests alongside routine panels.

Despite strong percentile ranks on many codes, overall Medicare revenue of $378.3K is modest in absolute dollar terms for a lifetime billing record, so this is a concentrated, high-volume-for-routine-tests profile rather than a large integrated laboratory system. The majority of revenue still flows from low‑unit‑price, high‑volume CPTs rather than from large single-ticket specialty procedures.

Service mix includes occasional therapeutic and diagnostic services beyond routine labs — for example, 99195 (55 claims, $3.6K revenue) for therapeutic phlebotomy and diagnostic molecular codes such as 87635 and 87651 for infectious disease testing — which points to a base laboratory operation that supplements routine panels with a small number of higher‑complexity services as needed.

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,040	$10	$64.3K
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.	6,390	$10	$63.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	7,640	$10	$61.2K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	3,290	$10	$42.7K
0240U	N/A	220	$140	$29.9K
83036	Sugar 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).…	2,240	$10	$22.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	2,330	$10	$18.7K
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…	970	$20	$15.4K
0241U	N/A	80	$140	$10.5K
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	1,740	$1	$6.9K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Mark Rodacker — 15 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

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84443	5	60	60	$20	$7.9K
0240U	1	10	10	$140	$6.1K
80053	3	110	80	$10	$4.6K
0241U	2	20	20	$140	$4.4K
80061	3	100	60	$10	$4.1K
99195	1	10	50	$70	$3.2K
36415	4	220	70	$10	$3.1K
85025	3	130	70	$10	$3K
87651	1	10	20	$30	$2.3K
83036	3	100	50	$10	$2.3K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mark Rodacker, 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 Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Mark Rodacker — 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