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.

Villa Nazareth (NPI 1578159075)

Field	Value
Entity Type	Organization
Organization	Villa Nazareth
Address	801 Page Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 18, 2020

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Key Findings

VILLA NAZARETH is effectively a Medicaid-focused provider: there is no Medicare billing on file and reported Total Medicaid revenue is $4.7M, indicating the organization’s operations and billing are concentrated in state Medicaid programs rather than Medicare reimbursement streams. The provider’s NPI was enumerated on 2020-12-18 (~6 years ago), so this footprint reflects roughly six years of enrollment activity in the Medicaid market.

Revenue is heavily concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 73.0% of this provider’s total Medicaid revenue, with W0700 alone generating $1.8M (38.7% of total Medicaid revenue). This concentration suggests the business model relies on a narrow set of services for the majority of its billing.

The top-coded services align with habilitation and waiver-based community services: T2047 (Habilitation, prevocational, waiver; per 15 minutes) produced $1.1M (22.9% of Medicaid revenue) and T2019 (Habilitation, supported employment, waiver; per 15 minutes) produced $537.5K (11.4%), indicating core delivery of habilitation and supported employment services under waiver programs. Together with T2021 (Day habilitation, waiver; per 15 minutes) at $517.4K (11.0%), the code mix portrays a provider focused on ongoing, time-based habilitation/day programs rather than episodic medical procedures.

Competitive standing within the state is modest across most of its top codes: W0700 ranks #12 of 16 providers in-state (27th percentile) and is characterized as typical/unremarkable volume for that code, while T2047 ranks #8 of 11 (30th percentile) and T2019 ranks #17 of 20 (16th percentile), both also described as typical/unremarkable. These ranks indicate VILLA NAZARETH is not a dominant statewide leader for its largest revenue-generating codes but is a consistent, medium-to-low volume participant.

There is one service area where relative standing is stronger: W0705 (no description available) generated $533.1K (11.3% of Medicaid revenue) and ranks #4 of 11 providers in-state (70th percentile), putting the provider in the upper third for that particular code. This suggests VILLA NAZARETH has a comparatively stronger competitive position for the W0705-coded service than for its other top codes.

Some codes show high per-claim payment paired with low volume, which may affect cash flow and utilization management risk: W0200 (no description available) had just 74 claims but a $3020 avg paid/claim, producing $223.5K (4.7% of Medicaid revenue) and ranks #22 of 25 providers in-state (8th percentile). The combination of a high average paid/claim and low claim count marks W0200 as a higher-paid, low-volume service compared with the provider’s time-based habilitation codes.

Operational implications: the predominance of per-15-minute habilitation codes (T2047, T2019, T2021) implies a service delivery model organized around frequent, shorter units of billed time—this typically requires scheduling, staff availability for repeated sessions, and compliance with waiver documentation standards. Given the concentration in these codes (top 3 = 73.0% of Medicaid revenue), any changes in waiver policy, unit rates, or utilization controls for time-based habilitation services could materially affect the provider’s revenue.

From a payer-analyst perspective, VILLA NAZARETH presents as a specialized Medicaid habilitation/day services provider with a concentrated revenue base and generally typical in-state volumes across most top codes; analysts monitoring network adequacy or utilization should focus on the three revenue-driving habilitation codes plus the higher-paid, low-volume W0200 code as potential levers for program or payment-review activity.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0700	N/A	3,040	$600	$1.8M
T2047	Habilitation, prevocational, waiver; per 15 minutes	6,750	$160	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5,430	$100	$537.5K
W0705	N/A	3,700	$140	$533.1K
T2021	Day habilitation, waiver; per 15 minutes	4,660	$110	$517.4K
W0200	N/A	70	$3,020	$223.5K

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

Villa Nazareth — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	24	30	32,410	$170	$6.6M
T2019	Habilitation, supported employment, waiver; per 15 minutes	17	20	11,310	$80	$1.2M
W0700	N/A	12	20	3,430	$280	$1.2M
T2047	Habilitation, prevocational, waiver; per 15 minutes	8	10	8,770	$90	$988.3K
W0200	N/A	22	30	200	$1,670	$454.3K
W0705	N/A	4	10	2,950	$110	$383K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M

Villa Nazareth — Billing Profile & Reimbursement Data

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Villa Nazareth — 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

Nearby Providers

Frequently Asked Questions

References