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.

Mercy Hospital Of Valley City (NPI 1477549111)

Field	Value
Entity Type	Organization
Organization	Mercy Hospital Of Valley City
Address	570 Chautauqua Blvd
City	Valley City
State	ND
ZIP	58072
Taxonomy	Critical Access Hospital
NPI Enumerated	September 27, 2005

Payer Source	Total Paid
Medicaid	$279.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	580	$210	$120.8K
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.	300	$240	$73K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	140	$450	$61.9K
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.	500	$20	$10.6K
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…	650	$10	$7.1K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	220	$10	$1.5K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	80	$20	$1.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	400	$1	$1.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$90	$1.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	30	$10	$300

Showing 1–10 of 16

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

Mercy Hospital Of Valley City — 0 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	18	20	1,120	$220	$2M
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.	22	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.	26	50	670	$150	$829.9K
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.	27	50	630	$10	$49.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	46	90	400	$1	$20.7K
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…	25	50	520	$1	$19.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	16	20	800	$10	$17.4K
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…	23	30	700	$10	$10.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	22	30	80	$20	$6.3K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	16	20	550	$1	$5.1K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Hospital Of Valley City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Misty Anderson	ND	Internal Medicine Physician	$221.9K	$0
Jalal Dufani	NE	Internal Medicine Physician	$115.1K	$0
Adam Macdissi	NE	Hospitalist Physician	$103.3K	$0
Tanya Diegel	ND	Family Medicine Physician	$92.7K	$0
Artem Ryazantsev	NE	Hospitalist Physician	$76.7K	$0
Courtney Whitney	MN	Sleep Medicine (Internal Medicine) Physician	$67.6K	$4.3K
Mercy Hospital Of Valley City	ND	Clinic/Center	$0	$58.4K
Heidi Andruski	ND	Certified Registered Nurse Anesthetist	$49.9K	$0
Michael Laszewski	ND	Anatomic Pathology Physician	$41.8K	$0
Alex Lunneborg	ND	Physician Assistant	$29.4K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Hospital Of Valley City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Open Door Center	ND	Community/Behavioral Health Agency	$0	$51.1M
Innovis Health, LLC	ND	Family Medicine Physician	$0	$752.9K
Barnes County Ambulance Inc	ND	Paramedic	$299.2K	$326.1K
Bridge City Dentistry P.C.	ND	General Practice Dentistry	$0	$351.6K
City County Health District	ND	Public Health or Welfare Agency	$149K	$59.5K
Genevieve Goven	ND	Family Medicine Physician	$126.8K	$0
Ashley Horner	ND	Family Medicine Physician	$101.5K	$0
South Central Adult Services Council Inc.	ND	In Home Supportive Care Agency	$0	$68.5K
Central Avenue Chiropractic PC	ND	Chiropractor	$0	$62K
Thomsen Chiropractic PC	ND	Chiropractor	$0	$51.9K

Mercy Hospital Of Valley City — Billing Profile & Reimbursement Data

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Mercy Hospital Of Valley City — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

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Frequently Asked Questions

References