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.

Thomas Haldis (NPI 1588681449)

Field	Value
Entity Type	Individual
Organization	Thomas Haldis
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicare	$264.7K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $264.7K and there is no Medicaid billing on file, so the practice’s Medicaid exposure is nil and Medicare dominates the payer mix. The precomputed concentration metric shows the top 3 Medicare codes account for 46.4% of total Medicare revenue, indicating revenue is concentrated in a few high-value procedures.

Code mix points to a high-acuity interventional cardiac practice focused on structural and coronary procedures: 33361 (82 claims, $45.4K revenue) is a large contributor and represents percutaneous aortic valve replacement (TAVR/TAVI), 33340 (70 claims, $40.1K revenue) reflects left atrial appendage closure activity, and 92928 (93 claims, $37.1K revenue) represents percutaneous coronary intervention with stent placement. Together these procedural codes dominate the clinical footprint and suggest the provider operates with cath lab/structural heart capabilities rather than a primarily clinic-based cardiology practice.

Revenue concentration is pronounced: the three top Medicare codes — 33361 (17.2% of Medicare revenue), 33340 (15.2%), and 92928 (14.0%) — together make up 46.4% of this provider’s Medicare revenue. That concentration implies financial performance and utilization patterns are highly sensitive to volume in a small set of advanced interventional procedures.

On national competitive standing for key procedures, this provider ranks well above typical volume: 33361 ranks #135 of 2679 providers (95th percentile, described as notably above typical national volume), 33340 ranks #98 of 1552 (93rd percentile, notably above typical), and 92928 ranks #148 of 5112 (97th percentile, notably above typical). These rankings indicate the provider is a high‑volume performer nationally for TAVR, LAA closure, and PCI despite a modest total Medicare revenue base.

The provider also reports unusually high outpatient consult activity: 99205 has 154 claims and $19.9K revenue (7.5% of Medicare revenue) and ranks #908 of 66257 providers (99th percentile; labeled an extreme outlier). This suggests a substantial flow of high‑intensity new patient evaluations, consistent with a referral practice that evaluates complex procedural candidates.

Support and imaging services are a consistent part of the case mix: 93458 (126 claims, $20.3K revenue; ranks in the 96th percentile and is described as notably above typical national volume) and 93306 (326 claims, $16.6K revenue; 68th percentile, typical) together indicate active intracardiac/coronary imaging and echo utilization tied to interventional work. High counts for monitored sedation (99152: 210 claims, $1.9K revenue; 96th percentile, notably above typical) further support routine use of procedural sedation in the practice.

Operational tenure is long but Medicare scale is modest: the NPI was enumerated 2006-07-16 (~20 years ago), indicating an established practice, yet lifetime Medicare revenue of $264.7K is relatively small for that span. Combined with the high percentile rankings on specific advanced procedures, this pattern suggests a specialized interventional niche with concentrated procedural volumes rather than broad-based Medicare outpatient billing.

For payer strategy and risk assessment, the combination of no Medicaid billing, heavy reliance on a few high-cost interventional codes, and top-percentile national rankings for those procedures signals a provider who is valuable for access to structural heart and high‑complexity coronary services but represents concentrated financial risk if referral or case volume shifts. Contracting or network decisions should account for the provider’s procedural strengths, extremely limited Medicaid footprint, and dependence on a small set of revenue-driving interventions.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	80	$550	$45.4K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	70	$570	$40.1K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	90	$400	$37.1K
33418	In this procedure, the provider repairs a narrowed and stiff mitral valve using a percutaneous (through the skin) approach. The mitral valve controls the passage of blood from the left atrium of the…	20	$1,310	$25K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	130	$160	$20.3K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	150	$130	$19.9K
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…	330	$50	$16.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$100	$8.2K
93454	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…	60	$130	$7.9K
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…	160	$50	$7.1K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Thomas Haldis — 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. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33340	1	10	40	$550	$20.9K
33418	1	10	20	$1,320	$19.8K
92928	3	20	50	$390	$19.4K
33361	1	20	30	$540	$19K
93306	23	60	180	$50	$19K
93458	4	20	70	$180	$13.5K
99214	915	1,470	90	$60	$10.4K
99223	213	330	40	$130	$8.9K
99215	104	480	40	$100	$6.9K
92941	2	10	10	$460	$6K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0

Thomas Haldis — 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