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.

Innovis Health LLC (NPI 1578907655)

Key Findings

Field	Value
Entity Type	Organization
Organization	Innovis Health LLC
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Family Medicine Physician
NPI Enumerated	April 19, 2013

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

INNOVIS HEALTH LLC appears to be effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $5.1M. Its NPI was enumerated on 2013-04-19 (~13 years ago), indicating more than a decade of active claims activity under this taxonomic alignment (Family Medicine Physician).

Revenue is concentrated in a small set of services: the top three Medicaid codes (99214, 99213, 88305) account for 42.0% of this provider's total Medicaid revenue. Specifically, 99214 generated $860.4K (18.1%), 99213 generated $653.2K (13.7%), and 88305 generated $487.6K (10.2%), indicating a reliance on a narrow mix of high-dollar E/M and pathology services.

The code mix suggests a blended operation that combines ambulatory primary care with significant pathology support: the prominence of 99214 and 99213 (large office visit volumes) alongside 88305 (surgical pathology) implies a practice that handles high outpatient visit throughput while also routing surgical specimens for level IV pathology review, consistent with a clinic that either has on‑site pathology services or close lab relationships.

INNOVIS shows notable statewide standing on several high-revenue codes but the vendor annotations temper the interpretation: 99214 ranks #8 of 171 providers in-state (96th percentile; typical, unremarkable volume) and 99213 ranks #9 of 206 (96th percentile; typical, unremarkable volume), which places the provider among the higher-volume Medicaid E/M billers in North Dakota even though the peer commentary labels those volumes as "typical, unremarkable."

The provider also demonstrates a meaningful role in imaging and pathology lines beyond office visits: 88305 ranks #2 of 21 providers in-state (95th percentile) with $487.6K revenue, 93306 ranks #2 of 13 (92nd percentile) with $249.8K revenue, and 77067 ranks #2 of 11 (90th percentile) with $190.1K revenue. These ranks and dollar amounts indicate a substantive contribution from cardiac imaging, mammography, and surgical pathology to the Medicaid revenue base.

Hospital-based care is a visible part of the portfolio: subsequent and initial inpatient visit codes such as 99232 ($368.9K, 7.7%), 99233 ($269K, 5.6%), and 99223 ($229.2K, 4.8%) together represent material Medicaid revenue, showing the provider bills for inpatient follow-up and admission-level E/M services in addition to outpatient work. This pattern points to integration with hospital services or hospitalist-style activity.

Operationally, the claim mix includes very high-volume, low-per-claim services that drive throughput but limited revenue per unit: for example, 93010 has 25.6K claims at $5 avg paid/claim for $127.9K revenue, 71045 has 11.5K claims at $6 avg for $68.9K revenue, and 71046 has 8.5K claims at $8 avg for $68.2K revenue. That pattern suggests heavy use of routine diagnostics (ECGs and chest radiographs) that support high patient throughput and ancillary service demand without dominating overall revenue.

A caution for competitive interpretation: a small peer set can produce top ranks that reflect limited statewide competition rather than scale alone—examples include 99244 (rank #1 of 3, 100th percentile; typical, unremarkable volume) and other codes with top ranks but few peer reporters. Where ranks are high but peer counts are small, the significance for market dominance should be weighted by absolute revenue and the annotated peer‑volume descriptions.

Medicaid: Complete Services Breakdown

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

100 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	16,230	$50	$860.4K
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…	16,750	$40	$653.2K
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…	12,500	$40	$487.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	8,580	$40	$368.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,340	$60	$269K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,550	$50	$249.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,790	$130	$229.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,140	$60	$194.6K
99204	The provider sees a new 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 provider…	2,310	$80	$191.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	3,960	$50	$190.1K

Showing 1–10 of 100

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

Innovis Health LLC — 3 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

100 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	30	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.	47	50	670	$150	$829.9K
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…	9	210	360	$100	$498.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7	30	460	$50	$423.5K
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…	8	170	300	$100	$415.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5	20	310	$70	$364K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5	10	310	$150	$323.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	11	60	130	$190	$242.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6	10	410	$130	$234.2K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	3	10	330	$120	$193.2K

Showing 1–10 of 100

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
Innovis Health LLC	ND	Family Medicine Physician	$0	$4.5M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Tadeu Ambros	FL	Medical Oncology Physician	$1.7M	$0

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
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
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Innovis Health LLC — Billing Profile & Reimbursement Data

Sign up for Innovis Health LLC — Billing Profile & Reimbursement Data policy alerts

Innovis Health LLC — Billing Profile & Reimbursement Data

Sign up for Innovis Health LLC — Billing Profile & Reimbursement Data policy alerts

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