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.

Minot State University (NPI 1528198975)

Field	Value
Entity Type	Organization
Organization	Minot State University
Address	500 University Ave W
City	Minot
State	ND
ZIP	58707
Taxonomy	Speech-Language Pathologist
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Key Findings

MINOT STATE UNIVERSITY has no Medicare billing on file and reports $9.1M in lifetime Medicaid revenue, making it effectively a single‑payer Medicaid provider in this data set rather than a dual‑payer operation. The absence of Medicare activity contrasts sharply with its Medicaid scale and indicates its operational footprint is concentrated in state program billing rather than traditional Medicare fee‑for‑service work.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 63.5% of the provider’s total Medicaid revenue, with T2025, S5111, and W0500 alone generating the bulk of receipts. Specifically, T2025 contributes $2.3M (25.1%), S5111 $1.8M (20.0%), and W0500 $1.7M (18.3%), underscoring heavy dependence on a small set of service lines for overall revenue.

The top codes point to a service mix focused on waiver and home‑based support services rather than traditional outpatient therapy: T2025 is listed as Waiver services (nos) and S5111 is Home care training, family per session, while T2024 and T1023 reflect assessment/plan and screening activities. This code mix suggests the provider operates programs centered on Medicaid waiver delivery, family training, and initial participant screening/assessment rather than high volumes of procedure‑based clinic care.

Competitive standing within the state is modest but includes some relatively strong placements: T2025 ranks #3 of 9 providers in‑state (75th percentile) and W0510 ranks #2 of 7 providers (83th percentile), indicating above‑median throughput for those services, while several other high‑revenue codes sit near median state volumes. Overall, the provider is not a statewide dominant player across all Medicaid codes but does hold top‑tier positions on particular codes tied to waiver and home care activities.

Despite dollar concentration in a few codes, the statistical labels attached to most code volumes are “typical, unremarkable volume,” which means that although the provider relies on a narrow set of services for most revenue, its per‑code volumes are generally in line with peer norms rather than being extreme outliers. Even W0510—where the provider ranks relatively high—was characterized as typical in the source data, so these placements reflect stronger-than-average participation but not anomalous billing behavior.

Operationally, the mix of high claim counts for S5111 (12.5K claims) and W0500 (12K claims) with mid‑range paid/claim levels (about $145 and $138 respectively) implies a high‑throughput, session‑based delivery model that scales revenue through volume of encounters rather than high unit prices. In contrast, codes with higher avg paid/claim (for example W0510 at $299 and T2024 at $453) contribute meaningful revenue with far fewer claims, indicating a blend of frequent low‑unit services and less frequent higher‑unit encounters.

The provider’s NPI was enumerated on 2007-03-06 (~19 years ago), denoting long tenure in the market; this longevity combined with concentrated Medicaid activity suggests an established role in state waiver and home‑based service delivery rather than a new entrant or short‑term billing pattern. Longevity may support institutional knowledge of Medicaid program workflows and relationships even though Medicare is absent from its billing profile.

Beyond concentration on a small set of Medicaid codes, the provider’s role appears operationally specialized: major revenue drivers are waiver and home care training codes (T2025, S5111, W0500) and supportive assessment/screening codes (T2024, T1023). For payers and analysts, this profile signals that any policy or rate changes to waiver services or home‑based training reimbursement would disproportionately affect this provider’s revenue base due to both code concentration and the absence of Medicare diversification.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	7,120	$320	$2.3M
S5111	Home care training, family; per session	12,520	$150	$1.8M
W0500	N/A	12,030	$140	$1.7M
W0510	N/A	4,830	$300	$1.4M
T2024	Service assessment/plan of care development, waiver	1,810	$450	$821.7K
W0530	N/A	1,580	$430	$673.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	480	$450	$214.5K
W0520	N/A	380	$420	$159.5K

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

Minot State University — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5111	Home care training, family; per session	5	10	12,520	$140	$2.8M
W0500	N/A	4	10	10,780	$140	$2M
T2025	Waiver services; not otherwise specified (nos)	3	10	3,670	$300	$1.4M
W0510	N/A	2	10	3,780	$290	$1M
T2024	Service assessment/plan of care development, waiver	6	10	2,140	$410	$880.1K
W0530	N/A	4	10	1,580	$400	$854.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	5	10	800	$420	$412.2K
W0520	N/A	4	10	380	$390	$346.3K

Minot State University — Billing Profile & Reimbursement Data

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Minot State University — 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

Frequently Asked Questions

References