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    OpenPayerNPI Medicare & MedicaidChad Carlson
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    Chad Carlson — Billing Profile & Reimbursement Data

    NPI 1588873186 · Bismarck, ND · Orthopaedic Surgery Physician

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    Chad Carlson is a orthopaedic surgery physician provider located in Bismarck, North Dakota. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationChad Carlson
    Address310 N 9th St
    CityBismarck
    StateND
    ZIP58501
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 21, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$143K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…570$90$49.3K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$960$41.3K
    99203The provider sees a new 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 provider…80$70$5.7K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…30$230$5.7K
    77077The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.140$30$4.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.240$20$4.8K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.210$20$4.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$50$4.1K
    27687The provider releases the tendon of the gastrocnemius muscle, or outer calf muscle, to treat stiffness, tightness, or pain that prevents normal ankle movement.20$190$3.9K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.190$20$3.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447236040$1,110$47.9K
    99214691,47090$60$10.4K
    9923249956070$60$10K
    2068021020$330$6.6K
    2090011010$430$6K
    992131,1571,49080$50$5.8K
    9920423557030$100$4.4K
    9922233144030$100$3.8K
    2768711020$220$3.8K
    77077610130$30$3.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Marina GilcaNDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Bismarck Surgical Associates, LLCNDAmbulatory Surgical Clinic/Center$2.2M$0
    William NoyesNDRadiation Oncology Physician$1.2M$0
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Aaron FortneyNDOphthalmology Physician$561.1K$0
    Monte LeidenixNDOphthalmology Physician$553.3K$0
    Mark SczepanskiNDOphthalmology Physician$545.7K$0
    Rachel NessNDDermatology Physician$539.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enable, Inc.NDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$40.8M
    Heartview FoundationNDSubstance Use Disorder Rehabilitation Clinic/Center$0$13.6M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Bismarck Public Schools Early InterventionNDEarly Intervention Provider Agency$0$12M
    West Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    D. Michael Goebel D.d.s., PCNDPediatric Dentistry$0$5.8M
    Poppy's Promise LLCNDCommunity/Behavioral Health Agency$0$5.6M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    St. Alexius Medical CenterNDSpecialist$0$3.6M
    Lasting Love HomecareNDIn Home Supportive Care Agency$0$3.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Chad Carlson — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota