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.

Lance Bergstrom (NPI 1578509733)

Field	Value
Entity Type	Individual
Organization	Lance Bergstrom
Address	2601 University Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Specialist
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicare	$590.1K
Medicaid	$0

Key Findings

Clinical/service mix is squarely ophthalmology with a heavy emphasis on intravitreal anti-VEGF treatment and cataract care: J0178 (aflibercept) generates $290.4K (49.3% of Medicare revenue), 66984 (cataract extraction with intraocular lens) generates $87.2K (14.8%), and 66821 (YAG capsulotomy) generates $31.9K (5.4%). These three codes together account for 69.5% of the provider's total Medicare revenue, indicating the practice’s day-to-day operations are focused on retina injections and cataract procedures.

Revenue is highly concentrated: the precomputed top-3 codes account for 69.5% of Medicare revenue and a single code, J0178, represents 49.3% of Medicare revenue on its own. That concentration creates operational dependence on intravitreal aflibercept treatments for Medicare income and implies sensitivity to changes in reimbursement or utilization for that therapy.

Competitive standing varies by service line: for J0178 this provider ranks #2040 of 3204 nationally (36th percentile) — described as typical, unremarkable volume for this code — while 66984 ranks #4767 of 15965 (70th percentile), indicating above-average cataract procedural volume. Notably, 66821 ranks #378 of 10087 (96th percentile), which places this provider among the highest-volume reporters nationally for YAG capsulotomy and suggests a regional specialization or referral position for posterior capsular opacification treatment.

The billed anti-VEGF mix strongly favors aflibercept over bevacizumab in Medicare: J0178 accounts for $290.4K (49.3% of Medicare revenue) versus J9035 (bevacizumab) at $3.3K (0.6%). This distribution suggests the provider predominantly uses or bills for aflibercept-based intravitreal therapy in their Medicare population, which has implications for drug spend, supply, and payer negotiations.

Support services and visit volume are consistent with a procedure-heavy ophthalmology practice: 92134 (retinal imaging) appears frequently with 510 claims and $14.8K (2.5% of Medicare revenue) at the 87th percentile, while 99213 (established office visits) contributes $19.7K (3.3%) and ranks at the 89th percentile. High relative ranks on imaging and E/M codes indicate regular diagnostic follow-up and clinic throughput that support the injected-retina and surgical cataract volumes.

The provider shows modest involvement in glaucoma interventions and a broader surgical mix: 66183 (glaucoma device) contributes $12.5K (2.1%) and ranks #192 of 289 (27th percentile), and 65855 (trabecular meshwork laser) contributes $3.4K (0.6%) and ranks at the 9th percentile of peers. These figures point to occasional glaucoma procedures rather than a major glaucoma surgery practice, reinforcing cataract/retina as primary service lines.

Payer mix is effectively single-payer: total Medicare revenue is $590.1K and there is no Medicaid billing on file (none below). The absence of reported Medicaid activity means revenue risk and utilization patterns are concentrated in the Medicare population, which may simplify contracting but increases exposure to Medicare policy shifts that affect ophthalmology services.

Tenure and market presence are established: the NPI was enumerated on 2006-06-22 (~20 years ago), indicating a long-standing practice. Combined with the code-level mix and the national rank distribution (very high for 66821, above-average for 66984, typical for J0178), this suggests an experienced ophthalmology specialist with a stable, procedure-oriented Medicare practice rather than a broad multi-payer network presence.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	440	$660	$290.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	240	$370	$87.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	340	$90	$31.9K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	300	$80	$24.6K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	40	$630	$22.2K
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…	350	$60	$19.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	310	$60	$17.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	510	$30	$14.8K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	20	$660	$12.6K
66183	The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.	20	$780	$12.5K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Lance Bergstrom — 2 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. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	20	440	$680	$445.3K
66984	19	100	50	$350	$61.2K
67028	12	30	290	$80	$40.6K
66982	14	20	40	$590	$29.4K
66821	2	30	80	$230	$27.3K
15823	5	10	30	$480	$27.2K
66183	2	10	20	$1,040	$23.8K
67904	3	10	20	$570	$17.8K
92014	104	170	160	$70	$15.6K
92136	7	30	240	$30	$8.3K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Thom	MN	Ophthalmology Physician	$421.2K	$0
Tracie Malsom	ND	Optometrist	$58.9K	$0

Nearby Providers

Other providers in the same ZIP code as Lance Bergstrom, 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

Lance Bergstrom — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References