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.

Anne Carlsen Center (NPI 1598930109)

Field	Value
Entity Type	Organization
Organization	Anne Carlsen Center
Address	2200 20th St Sw
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Physical Therapist
NPI Enumerated	April 24, 2008

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	16,730	$70	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	12,810	$60	$806.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1,120	$130	$147.8K
0365T	Adaptive behavior tx addl	1,550	$40	$57.5K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,250	$20	$27.4K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	350	$60	$19.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	210	$90	$17.5K
0360T	Insertion of drug-eluting implant (including punctal dilation and implant removal when performed) into lacrimal canaliculus, each	440	$30	$14K
0364T	Behavior treatment	1,440	$10	$11.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	220	$40	$8.9K

Showing 1–10 of 20

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

Anne Carlsen Center — 4 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	17	20	10,750	$180	$2.7M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	9	70	1,950	$60	$387K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	9	60	1,860	$60	$348.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	75	80	400	$80	$133.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	118	140	390	$110	$129.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	26	30	360	$30	$94.6K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1	10	650	$120	$76.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	73	100	170	$20	$34.7K
0365T	Adaptive behavior tx addl	1	10	340	$40	$25.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	38	40	410	$10	$22.5K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Early Intervention Provider Agency	$0	$28.6M

Nearby Providers

Other providers in the same ZIP code as Anne Carlsen Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha Opportunities Inc.	ND	Community/Behavioral Health Agency	$0	$20.3M
Anne Carlsen Center For Children	ND	Community/Behavioral Health Agency	$0	$13.2M
Triumph, Inc.	ND	Community/Behavioral Health Agency	$0	$10.9M
Anne Carlsen Center	ND	Community/Behavioral Health Agency	$0	$5.9M
Lutheran Charity Association	ND	Critical Access Hospital	$0	$4M
South Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
T & K Early Intervention	ND	Early Intervention Provider Agency	$0	$3M
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M
Innovis Health, LLC.	ND	Family Medicine Physician	$0	$991.3K

Anne Carlsen Center — Billing Profile & Reimbursement Data

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Anne Carlsen Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References