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.

Mckenzie County Healthcare Systems Inc (NPI 1518988948)

Mckenzie County Healthcare Systems Inc is a critical access hospital provider located in Watford City, North Dakota. This profile covers 0 Medicare and 33 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	Mckenzie County Healthcare Systems Inc
Address	709 4th Ave Ne
City	Watford City
State	ND
ZIP	58854
Taxonomy	Critical Access Hospital
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

33 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.	3,420	$190	$650K
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.	1,280	$260	$336.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	510	$120	$59K
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.	50	$810	$42.9K
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…	680	$60	$40.3K
0241U	N/A	70	$210	$15.1K
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…	250	$50	$12.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	190	$50	$9.5K
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.	710	$10	$8.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	40	$180	$7.5K

Showing 1–10 of 33

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

Mckenzie County Healthcare Systems Inc — 0 of 25 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

33 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.	19	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.	17	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.	19	50	670	$150	$829.9K
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…	78	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…	91	170	300	$100	$415.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	13	30	450	$110	$198.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12	10	640	$80	$184.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	10	1,400	$50	$172.8K
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…	26	30	90	$60	$69.3K
0241U	N/A	17	20	200	$130	$62.2K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Aspirus Medford Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$11.8M
Primary Connection Health Care, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$11.5M
Aspirus Merrill Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$11.1M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Wausau Hospital, Inc.	WI	Land Ambulance	$4M	$6.1M
Aspirus Wausau Hospital, Inc.	WI	Clinical Medical Laboratory	$0	$6.9M
Aspirus Riverview Hospital & Clinics, Inc.	WI	Rural Health Clinic/Center	$0	$4.7M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie County Ambulance Service	ND	Land Ambulance	$103.4K	$52.2K
Mckenzie County Healthcare Systems Inc	ND	Rural Health Clinic/Center	$0	$105.9K
Eyes By Design Ltd	ND	Optometrist	$0	$102K
Anova Family Health Center Inc.	ND	Primary Care Clinic/Center	$0	$46.6K
Wade Darr LLC	ND	Chiropractor	$0	$42.6K
Empowered Therapy By Tara Lorenz, PLLC	ND	Clinical Social Worker	$0	$18.3K
Jennifer Fleck	ND	Family Nurse Practitioner	$14K	$0
Legendary Smiles, P.C.	ND	Dental Clinic/Center	$0	$12.6K
Myers Chiropractic PLLC	ND	Chiropractor	$0	$12.4K
Danielle Demorrow	ND	Dentist	$0	$2.9K

Mckenzie County Healthcare Systems Inc — Billing Profile & Reimbursement Data

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Mckenzie County Healthcare Systems Inc — 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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