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.

St Aloisius Hospital Inc (NPI 1477045052)

Field	Value
Entity Type	Organization
Organization	St Aloisius Hospital Inc
Address	317 Brewster St E
City	Harvey
State	ND
ZIP	58341
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 31, 2018

Payer Source	Total Paid
Medicaid	$307.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	4,390	$70	$298.3K
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…	120	$80	$9.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	10	$20	$260
J1040	Injection, methylprednisolone acetate, 80 mg	10	$1	$50

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

St Aloisius Hospital Inc — 0 of 4 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

4 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…	29	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…	107	170	300	$100	$415.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	24	20	110	$60	$14.3K
J1040	Injection, methylprednisolone acetate, 80 mg	4	10	650	$1	$3.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Aloisius Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelly Krohn	AZ	Internal Medicine Physician	$926.3K	$0
Monte Leidenix	ND	Ophthalmology Physician	$553.3K	$0
Charles Nyhus	ND	Family Medicine Physician	$109.4K	$0
Julie Keller	ND	Physician Assistant	$102.7K	$0
Patanit Watanaboonyakhet	ND	Medical Oncology Physician	$86.8K	$0
Heidi Andruski	ND	Certified Registered Nurse Anesthetist	$49.9K	$0
Aaron Albers	ND	Foot & Ankle Surgery Podiatrist	$45.9K	$0
Blendi Cumani	ND	Surgery of the Hand (Surgery) Physician	$39K	$0
St Aloisius Hospital Inc	ND	Critical Access Hospital	$0	$26.4K
Robert Thomas	ND	Otolaryngology Physician	$25K	$0

Nearby Providers

Other providers in the same ZIP code as St Aloisius Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hav-it Services	ND	Community/Behavioral Health Agency	$0	$11.9M
Hav-it Services	ND	Community/Behavioral Health Agency	$0	$6M
Wells County District Health Unit	ND	Public Health or Welfare Agency	$59.5K	$63.1K
Harvey Ambulance Service, Inc.	ND	Ambulance	$121.8K	$0
Dakota Plains Chiropractic, PC	ND	Chiropractor	$0	$108K
Central Dakota Family Physicians, PC	ND	Family Medicine Physician	$0	$91.1K
Family Care Clinic, PC	ND	Primary Care Clinic/Center	$0	$65.6K
Robb Gottenborg	ND	Chiropractor	$39.4K	$0
Steven Kourajian	ND	Optometrist	$36.5K	$0
Harvey Dental Clinic PC	ND	Dental Clinic/Center	$0	$28.3K

St Aloisius Hospital Inc — Billing Profile & Reimbursement Data

Sign up for St Aloisius Hospital Inc — Billing Profile & Reimbursement Data policy alerts

St Aloisius Hospital Inc — Billing Profile & Reimbursement Data

Sign up for St Aloisius Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References