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.

Heartview Foundation (NPI 1578125852)

Field	Value
Entity Type	Organization
Organization	Heartview Foundation
Address	305 North 23rd St.
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 8, 2019

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	3,010	$420	$1.3M
S0201	Partial hospitalization services, less than 24 hours, per diem	1,640	$380	$624.5K
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	2,150	$50	$105.3K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	230	$390	$86.8K
S9480	Intensive outpatient psychiatric services, per diem	340	$160	$53K
S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	110	$410	$43.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	570	$50	$30.7K
H2010	Comprehensive medication services, per 15 minutes	1,270	$10	$16.5K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	130	$60	$7.1K
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…	30	$240	$6.6K

Showing 1–10 of 14

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

Heartview Foundation — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	7	10	3,070	$470	$2.2M
S9480	Intensive outpatient psychiatric services, per diem	3	10	840	$530	$2.1M
S0201	Partial hospitalization services, less than 24 hours, per diem	5	10	2,240	$540	$1.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	5	10	88,890	$10	$988.7K
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…	163	210	360	$100	$498.2K
S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	7	10	240	$460	$492.4K
H2010	Comprehensive medication services, per 15 minutes	5	10	73,500	$10	$459K
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…	145	170	300	$100	$415.8K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	10	230	$380	$250.3K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	3	10	1,090	$40	$91.6K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Heartview Foundation Cando	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3M
Heartview Foundation Dickinson	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$677.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Heartview Foundation — Billing Profile & Reimbursement Data

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Heartview Foundation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References