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.

North Central Behavioral Health Clinic (NPI 1477592533)

Field	Value
Entity Type	Organization
Organization	North Central Behavioral Health Clinic
Address	1015 S Broadway Ste 18
City	Minot
State	ND
ZIP	58701
Taxonomy	Clinic/Center
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $7M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation based on the available claims data. The absence of Medicare activity means payer-concentration risk is material — operational and revenue shifts in Medicaid policy or rates would disproportionately affect this clinic.

Revenue is highly concentrated: the top three Medicaid codes (99214, H2035, 90853) together account for 54.1% of the provider’s total Medicaid revenue. Those three codes individually represent $1.5M (99214, 21.2%), $1.3M (H2035, 18.1%), and $1M (90853, 14.8%), which signals dependence on a small set of high-yield service lines.

The code mix and volumes point to a service model centered on substance-use treatment and group psychotherapy. H2035 has 15.4K claims ($82 avg paid/claim, $1.3M revenue) and 90853 has 19.8K claims ($52 avg paid/claim, $1M revenue), both of which are described as "extreme outlier" volumes in-state and indicate large-scale, hourly addiction-treatment and group-therapy programming.

Clinical services include a sustained mix of individual psychotherapy and psychiatric assessment in addition to group work, supporting a continuum of behavioral-health care. High-volume psychotherapy codes such as 90834 (4.5K claims, $133 avg paid/claim, $605K revenue) and 90837 (1K claims, $304 avg paid/claim, $304.3K revenue), together with psychiatric evaluations 90792 (275 claims, $590 avg paid/claim, $162.3K) and 90791 (315 claims, $346 avg paid/claim, $109K), show capability for both assessment and ongoing therapeutic care.

State-level competitive standing is mixed but strong in core service lines: H2035 and 90853 each rank #1 in-state (extreme outlier), marking the clinic as a dominant provider for addiction hours and group psychotherapy. By contrast, 99214 ranks #25 of 171 providers in-state (86th percentile) and other common E/M and therapy codes are at mid-to-high percentiles, indicating typical or unremarkable volume for some office-based services.

The clinic also operates substantial psychosocial and peer-support components alongside clinical treatment, reflecting comprehensive program offerings rather than a narrow acute-care focus. Evidence includes H2014 (5K claims, $71 avg paid/claim, $352.2K revenue) ranked #2 of 12 and H0038 (2.5K claims, $17 avg paid/claim, $42.1K revenue) ranked #1 of 6 (notably above typical state volume), which point to skills training and self-help/peer services embedded in the care model.

Several codes show relatively high avg paid-per-claim for higher-intensity encounters, which suggests the clinic delivers extended or higher-complexity sessions for some patients. Examples include 99214 ($488 avg paid/claim), 90837 ($304 avg paid/claim), and 90792 ($590 avg paid/claim), indicating a mix of longer psychotherapy sessions and billed psychiatric evaluation services.

The provider’s NPI was enumerated on 2006-06-05 (~20 years ago), so this is a long-established clinic in the market; that tenure combined with state-leading volumes for core addiction and group-therapy codes suggests an entrenched regional program. At the same time, the clinic’s concentration in Medicaid revenue and dominance in a few specific codes highlights both competitive strength in those lines and exposure to Medicaid-specific reimbursement or policy changes.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,010	$490	$1.5M
H2035	Alcohol and/or other drug treatment program, per hour	15,350	$80	$1.3M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	19,810	$50	$1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,550	$130	$605K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,660	$110	$493.7K
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…	2,510	$160	$393.4K
H2014	Skills training and development, per 15 minutes	4,960	$70	$352.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	2,600	$130	$332.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,000	$300	$304.3K
T1016	Case management, each 15 minutes	2,030	$120	$235.7K

Showing 1–10 of 19

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

North Central Behavioral Health Clinic — 3 of 19 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

19 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…	43	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…	25	170	300	$100	$415.8K
T1016	Case management, each 15 minutes	7	20	1,390	$100	$242.6K
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,…	39	60	130	$190	$242.5K
H2035	Alcohol and/or other drug treatment program, per hour	1	20	590	$90	$206.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	4	40	520	$80	$181.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	2	10	900	$130	$178.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	8	10	1,120	$80	$153.7K
H2014	Skills training and development, per 15 minutes	2	10	1,440	$50	$135.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7	80	400	$80	$133.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Central Behavioral Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Capan	ND	Psychiatry Physician	$38.1K	$0
Stacey Berger Johnson	ND	Professional Counselor	$0	$8.8K
Timothy Wilson	ND	Social Worker	$8K	$0
Nicole Erasmus	ND	Clinical Social Worker	$2.5K	$0
Joni Heine	ND	Clinical Social Worker	$1.4K	$0

Nearby Providers

Other providers in the same ZIP code as North Central Behavioral Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$83.6M
Rem North Dakota	ND	Community/Behavioral Health Agency	$0	$72.7M
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Trinity Hospitals	ND	General Acute Care Hospital	$0	$7.4M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$6.7M
Doughboy Pediatric Dental Group	ND	Pediatric Dentistry	$0	$5.6M
Trinity Hospitals	ND	Land Ambulance	$0	$3.5M
Minot Vocational Adjustment Workshop	ND	Community/Behavioral Health Agency	$0	$2.1M
University Of North Dakota	ND	Family Medicine Physician	$0	$1.4M
First District Health Unit	ND	Clinic/Center	$785.3K	$403.2K

North Central Behavioral Health Clinic — Billing Profile & Reimbursement Data

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North Central Behavioral Health Clinic — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References