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.

Lutheran Charity Association (NPI 1548256753)

Field	Value
Entity Type	Organization
Organization	Lutheran Charity Association
Address	2422 20th St Sw
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Critical Access Hospital
NPI Enumerated	September 22, 2005

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Key Findings

This provider is effectively single-payer from a claims perspective: there is no Medicare billing on file while Medicaid revenue totals $4M, indicating the facility’s reported commercial and Medicare activity (if any) is not reflected in these datasets. The absence of Medicare billing suggests analysts should treat Medicaid patterns as the primary visibility into the hospital’s case mix and revenue drivers.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 89.3% of this provider’s total Medicaid revenue. Those top contributors are 99283 ($2.5M, 63.6% of Medicaid revenue), 99282 ($802.8K, 20.3%), and 96374 ($210.8K, 5.3%), so most dollars flow through a narrow set of ED and infusion-related services.

Operationally the code mix points to an emergency-department–centric Critical Access Hospital model: the two largest revenue drivers are ED E/M visits (99283 and 99282), and the third-ranked code, 96374, reflects frequent IV push medication administration. Support services consistent with an ED-focused outpatient footprint—labs (80053, 85025), basic imaging (71045, 70450), and blood draws (36415)—appear downstream of ED activity rather than indicating a broad outpatient specialty base.

Competitive standing for routine ED visits is relatively strong in-state: 99282 ranks #3 of 28 providers in-state (93rd percentile; typical, unremarkable volume) and 99283 ranks #8 of 48 (85th percentile; typical, unremarkable volume). While the dataset labels these volumes as "typical, unremarkable," their percentiles and ranks indicate the hospital is a major in-state participant for low- and lower-moderate–acuity ED visits compared with peers.

Ancillary and infusion services show mixed presence: 96374 (IV push administration) is $210.8K (5.3% of Medicaid revenue) and ranks #8 of 14 providers in-state (46th percentile; typical, unremarkable volume), while other infusion and IV codes such as 96375, 96372, and 96361 appear at much smaller revenue shares. Observation (G0378) is used but limited in scale (41 claims, $745 avg paid/claim, $30.5K, 0.8% of revenue) and ranks #7 of 7 providers in-state (0th percentile; typical, unremarkable volume), suggesting observation stays are not a material revenue stream relative to ED visits.

Laboratory testing and basic procedures generate modest revenue relative to ED E/M activity: comprehensive metabolic panel 80053 accounts for $97K (2.5% of Medicaid revenue) and complete blood count 85025 accounts for $68.7K (1.7%), with ranks in the mid-to-upper peer range (72nd and 73rd percentiles respectively). These patterns are consistent with an acute-care ED workflow where labs and point procedures support high-volume ED throughput rather than driving revenue independently.

The provider has a long tenure in NPI records (enumerated 2005-09-22, ~21 years ago), which supports interpreting the current Medicaid-focused billing mix as an established operational profile rather than a short-term anomaly. Given the heavy dependence on a small set of ED-related Medicaid codes (top three = 89.3% of Medicaid revenue), reimbursement or utilization shifts in those ED categories would disproportionately affect this facility’s Medicaid revenue and should be prioritized in payer/provider risk or contract analyses.

Medicaid: Complete Services Breakdown

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

46 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.	10,570	$240	$2.5M
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.	6,130	$130	$802.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,390	$150	$210.8K
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.	5,390	$20	$97K
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…	6,250	$10	$68.7K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	420	$90	$36.6K
0241U	N/A	200	$160	$31.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	520	$60	$30.8K
G0378	Hospital observation service, per hour	40	$750	$30.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	220	$100	$21.3K

Showing 1–10 of 46

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

Lutheran Charity Association — 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	10	4,940	$60	$2.3M
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.	25	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.	8	50	670	$150	$829.9K
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.	3	30	450	$110	$198.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	21	20	1,200	$50	$190.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8	10	1,400	$50	$172.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	8	10	630	$150	$148.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	16	20	920	$30	$111.2K
G0378	Hospital observation service, per hour	7	10	270	$420	$106.1K
0241U	N/A	10	20	200	$130	$62.2K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lutheran Charity Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Lutheran Charity Association	ND	Emergency Medicine Physician	$0	$521K
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Ashley Anderson	MN	Diagnostic Radiology Physician	$279.7K	$0
Benjamin Meyer	MN	Diagnostic Radiology Physician	$255.9K	$0
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0

Nearby Providers

Other providers in the same ZIP code as Lutheran Charity Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Early Intervention Provider Agency	$0	$28.6M
Alpha Opportunities Inc.	ND	Community/Behavioral Health Agency	$0	$20.3M
Anne Carlsen Center For Children	ND	Community/Behavioral Health Agency	$0	$13.2M
Triumph, Inc.	ND	Community/Behavioral Health Agency	$0	$10.9M
Anne Carlsen Center	ND	Community/Behavioral Health Agency	$0	$5.9M
South Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
T & K Early Intervention	ND	Early Intervention Provider Agency	$0	$3M
Anne Carlsen Center	ND	Physical Therapist	$0	$2.2M
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M

Lutheran Charity Association — 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