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.

Pride Inc. (NPI 1497354799)

Field	Value
Entity Type	Organization
Organization	Pride Inc.
Address	1200 Missouri Ave
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 19, 2020

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Key Findings

PRIDE INC. has no Medicare billing on file and reports Total Medicaid revenue of $5.7M, indicating the organization is effectively a Medicaid-focused provider rather than a dual-payer operation. The absence of Medicare activity means analyses of Medicare-dependent risk or competitiveness are not applicable for this entity.

Revenue concentration within Medicaid is highly concentrated: the precomputed top three codes account for 100.0% of PRIDE INC.'s Medicaid revenue, with W0300 alone generating $2.9M (51.1% of total Medicaid revenue). This level of concentration suggests financial performance and utilization trends are driven almost entirely by a very small set of service lines.

The largest single revenue driver is W0300 (no description available): 6K claims, $481 avg paid/claim, $2.9M revenue, and it ranks #4 of 13 in-state (75th percentile; typical, unremarkable volume for this code). Despite contributing roughly half of the provider's Medicaid revenue, PRIDE INC. is a mid-ranking state participant for this code rather than a dominant statewide leader.

S5125 (Attendant care services; per 15 minutes) is the second-largest code with 12.6K claims, $135 avg paid/claim, and $1.7M revenue, accounting for 30.0% of this provider's Medicaid revenue and ranking #8 of 18 in-state (59th percentile; typical, unremarkable volume). The mix—high claim counts at a low per-claim rate—is consistent with ongoing, time-based attendant care services and implies operational emphasis on sustained, hands-on service delivery rather than episodic high-dollar procedures.

W0260 (no description available) accounts for $1.1M and 18.9% of the provider's Medicaid revenue from 224 claims at a $4799 avg paid/claim, ranking #6 of 15 in-state (64th percentile; typical, unremarkable volume for this code). The relatively small claim count combined with a much higher avg paid/claim indicates this code represents a materially different service type or intensity compared with S5125 and likely drives discrete, high-dollar payments within the overall Medicaid mix.

Across competitiveness metrics, PRIDE INC. consistently sits in mid-range state percentiles for its top codes (59th–75th percentiles) and is described as having typical, unremarkable volumes; these rankings characterize the provider as a modest, not dominant, in-state participant for its top Medicaid services. There is no evidence in the code ranks to suggest PRIDE INC. is a market leader for any of its top three Medicaid codes.

From a business-risk and strategic perspective, the provider’s reliance on three codes for 100.0% of Medicaid revenue creates exposure to reimbursement or utilization changes affecting those codes, particularly W0300 which makes up 51.1% of Medicaid revenue. Any policy, audit, or rate change impacting W0300, S5125, or W0260 could disproportionately affect PRIDE INC.'s financials given the tight concentration.

PRIDE INC.’s NPI was enumerated on 2020-10-19 (~6 years ago), indicating a relatively recent enrollment history compared with longer-tenured providers; this tenure should be considered when benchmarking growth, market entry, or contracting behavior. Given the provider taxonomy of Community/Behavioral Health Agency combined with the prominence of S5125, the overall profile aligns with community-based attendant care and a small set of higher-dollar Medicaid services, though two top codes have no description available in the dataset and should be investigated further for precise service interpretation.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0300	N/A	6,050	$480	$2.9M
S5125	Attendant care services; per 15 minutes	12,640	$140	$1.7M
W0260	N/A	220	$4,800	$1.1M

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

Pride Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W0300	N/A	4	10	2,370	$630	$4M
S5125	Attendant care services; per 15 minutes	8	20	10,750	$180	$2.7M
W0260	N/A	6	20	150	$4,920	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Support Systems, Inc.	ND	Community/Behavioral Health Agency	$0	$37.7M
Bridging The Dental Gap Inc	ND	Dental Clinic/Center	$0	$6.8M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M
Dakota Eye Institute PC	ND	Ophthalmology Physician	$0	$1.2M

Pride Inc. — Billing Profile & Reimbursement Data

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Pride Inc. — 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

Nearby Providers

Frequently Asked Questions

References