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.

James Meserow (NPI 1609818657)

Field	Value
Entity Type	Individual
Organization	James Meserow
Address	3301 30th Ave S Ste 102
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Maternal & Fetal Medicine Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$60K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	500	$50	$22.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	340	$40	$14.4K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	200	$40	$7.4K
99214	The 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…	60	$120	$7.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	70	$70	$4.5K
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…	30	$110	$3.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	20	$20	$460
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$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

James Meserow — 1 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The 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…	128	170	300	$100	$415.8K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	6	10	330	$80	$112.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7	10	340	$50	$96.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	7	10	200	$40	$62.2K
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…	10	10	40	$120	$37.6K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	2	10	1,160	$20	$28.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	85	90	400	$1	$20.7K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	1	10	120	$40	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Ideal Option, PLLC	WA	Clinical Medical Laboratory	$0	$39.2M
Advantage Health Saint Mary's Medical Group	MI	Multi-Specialty Clinic/Center	$0	$21.9M
El Paso County Hospital District	TX	General Acute Care Hospital	$0	$21.4M
Advantage Health/saint Mary's Medical Group	MI	Multi-Specialty Clinic/Center	$0	$17M
Banner - University Physician Specialists LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.9M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Ideal Option, PLLC	MD	Addiction Medicine (Family Medicine) Physician	$0	$7.4M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.6M

James Meserow — 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

Frequently Asked Questions

References