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    OpenPayerNPI Medicare & MedicaidSanford Bismarck
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    Sanford Bismarck — Billing Profile & Reimbursement Data

    NPI 1598185597 · Dickinson, ND · Ambulatory Surgical Clinic/Center

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    Sanford Bismarck is a ambulatory surgical clinic/center provider located in Dickinson, North Dakota. This profile covers 6 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSanford Bismarck
    Address2615 Fairway Street
    CityDickinson
    StateND
    ZIP58601
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 17, 2014

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

    Payer SourceTotal Paid
    Medicare$79.5K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$380$33.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.60$220$13K
    66984The 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…20$730$12.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$420$8.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$380$7.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$380$4.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698410310050$350$61.2K
    45385374050$220$17.2K
    45380114050$150$11.4K
    G0105163030$210$8.1K
    43239174050$80$5.8K
    G0121142030$200$5.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7120Ringers lactate infusion, up to 1000 cc10$0$0

    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.

    Full comparison — all codes billed, vs. North Dakota median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7120Ringers lactate infusion, up to 1000 cc91030$1$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.5M
    Robert ReynoldsNDRadiation Oncology Physician$1.4M$0
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.2M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$771.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Able IncNDCommunity/Behavioral Health Agency$0$39.8M
    Hit Inc.NDEarly Intervention Provider Agency$0$17.4M
    St Josephs Hospital And Health CenterNDRural Acute Care Hospital$0$4.1M
    Dickinson Area Ambulance Service IncNDLand Ambulance$574.5K$1.8M
    Omaha Therapy, IncNDRehabilitation Clinic/Center$0$1.8M
    Badlands Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$1.4M
    High Plains DentalNDGeneral Practice Dentistry$0$1.1M
    Heartview Foundation DickinsonNDSubstance Use Disorder Rehabilitation Clinic/Center$0$677.5K
    Joann Nupen LindemannNDFamily Nurse Practitioner$517.4K$0
    St Joseph's Hospital And Health CenterNDClinic/Center$0$398.8K

    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
    Sanford Bismarck — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota
    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Sanford Bismarck — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota