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.

Optimal Chiropractic PLLC (NPI 1609247923)

Field	Value
Entity Type	Organization
Organization	Optimal Chiropractic PLLC
Address	3220 4th St E Ste 101
City	West Fargo
State	ND
ZIP	58078
Taxonomy	Chiropractor
NPI Enumerated	October 13, 2015

Payer Source	Total Paid
Medicaid	$221K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	4,260	$50	$213.2K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	980	$10	$7.8K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	900	$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.

Claims Volume vs. North Dakota Distribution

Optimal Chiropractic PLLC — 1 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	9	110	700	$40	$64.2K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	1	10	60	$10	$2.7K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	2	10	2,070	$1	$30

Nearby Providers

Other providers in the same ZIP code as Optimal Chiropractic PLLC, 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
North Dakota Autism Center, Inc	ND	Community/Behavioral Health Agency	$0	$5.7M
West Fargo Public School District 6	ND	Home Health Registered Nurse	$0	$2.6M
Fm Endoscopy Center LLC	ND	Ambulatory Surgical Clinic/Center	$2.5M	$0
Michael Greenwood	ND	Ophthalmology Physician	$530.7K	$0
Innovis Health, LLC	ND	Multi-Specialty Clinic/Center	$0	$235K
Alex Wohl	ND	Physical Therapist	$222.1K	$0
Kci Usa, Inc.	ND	Durable Medical Equipment & Medical Supplies	$0	$185.9K
Innovis Health LLC	ND	Family Medicine Physician	$0	$157.3K
Matthew Friederichs	ND	Sports Medicine (Orthopaedic Surgery) Physician	$126K	$0

Optimal Chiropractic PLLC — Billing Profile & Reimbursement Data

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Optimal Chiropractic PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References