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.

Trenton Indian Service Area (NPI 1568574036)

Field	Value
Entity Type	Organization
Organization	Trenton Indian Service Area
Address	331 4th Ave E
City	Trenton
State	ND
ZIP	58853
Taxonomy	Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$234.6K
Medicare	$0

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
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	$330	$227.8K
D0120	Periodic oral evaluation - established patient	30	$240	$6.8K
D1330	N/A	10	$0	$0

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

Trenton Indian Service Area — 0 of 2 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
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…	77	210	360	$100	$498.2K
D0120	Periodic oral evaluation - established patient	102	120	350	$40	$46.8K
D1330	N/A	2	10	10	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Trenton Indian Service Area, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luke Roller	ND	Diagnostic Radiology Physician	$119.3K	$0
John Clair	ND	Internal Medicine Physician	$52.5K	$0
Nora Keating	ND	Family Medicine Physician	$31.9K	$0
Misty Falcon	ND	Family Nurse Practitioner	$13K	$0

Trenton Indian Service Area — Billing Profile & Reimbursement Data

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Trenton Indian Service Area — Billing Profile & Reimbursement Data

Sign up for Trenton Indian Service Area — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References