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.

Innovis Health LLC (NPI 1437495264)

Innovis Health LLC is a family medicine physician provider located in Fargo, North Dakota. This profile covers 0 Medicare and 14 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	Innovis Health LLC
Address	3902 13th Ave S Ste 3704
City	Fargo
State	ND
ZIP	58103
Taxonomy	Family Medicine Physician
NPI Enumerated	December 26, 2012

Payer Source	Total Paid
Medicaid	$865.6K
Medicare	$0

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

14 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…	9,590	$50	$498.5K
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…	4,760	$70	$352.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	190	$20	$3.6K
99203	The provider sees a new 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 provider…	60	$60	$3.3K
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,…	90	$30	$2.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	170	$10	$1.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	240	$1	$960
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	30	$30	$930
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$50	$850
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10	$60	$670

Showing 1–10 of 14

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

Innovis Health LLC — 0 of 12 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

14 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…	15	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…	17	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,…	32	60	130	$190	$242.5K
99203	The provider sees a new 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 provider…	21	30	90	$60	$69.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22	20	180	$10	$59.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	46	100	170	$20	$34.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	57	90	400	$1	$20.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	13	20	60	$50	$20.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	19	20	210	$60	$11.2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	13	20	50	$20	$10K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
Innovis Health LLC	ND	Family Medicine Physician	$0	$4.5M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Innovis Health LLC — Billing Profile & Reimbursement Data

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Innovis Health LLC — 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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