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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Carlson
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    Mark Carlson — Billing Profile & Reimbursement Data

    NPI 1619904794 · Bemidji, MN · Family Medicine Physician

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    Mark Carlson is a family medicine physician provider located in Bemidji, Minnesota. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Carlson
    Address1300 Anne St Nw
    CityBemidji
    StateMN
    ZIP56601
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 26, 2006

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

    Payer SourceTotal Paid
    Medicare$89.7K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established 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…690$50$33.3K
    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…400$70$25.7K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…520$50$24.3K
    99204The provider sees a new 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 provider…30$90$2.8K
    20604In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to…40$30$1000
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.40$20$940
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…40$20$820
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…20$40$650

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921427410,10070$80$8.1K
    20611217040$70$5.5K
    99213249,12050$50$4K
    992041,1943,34020$110$3.6K
    2060462020$50$1.7K
    20606172020$60$1.4K
    205503713020$30$1.3K
    769425827020$30$910

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Health Network NorthMNMulti-Specialty Clinic/Center$0$5.2M
    Shree SubediWADiagnostic Radiology Physician$774.2K$0
    Myron ReddMNSurgery Physician$236.3K$0
    Heeraimangalore ManjunathNDAdvanced Heart Failure and Transplant Cardiology Physician$227.3K$0
    Daniel LouvarNDNephrology Physician$222.8K$0
    Scott FillmoreNDPhysical Medicine & Rehabilitation Physician$174.4K$0
    Jonathan FishMNDiagnostic Radiology Physician$172.9K$0
    Teresa Levitski-heikkilaMNNephrology Physician$136.1K$0
    Susan FarkasNDCardiovascular Disease Physician$114.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem North Star, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$132.7M
    Sanford Health Of Northern MinnesotaMNRural Acute Care Hospital$0$47.6M
    White Earth Band Of OjibweMNCommunity/Behavioral Health Agency$0$32.6M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Sanford Health Of Northern MinnesotaMNMental Health Clinic/Center (Including Community Mental Health Center)$0$15.1M
    Mississippi Headwaters Area Dental Health Center, Inc.MNPublic Health Dentistry$0$11.8M
    Independent School District #31MNLocal Education Agency (LEA)$0$8.8M
    Gph Beltrami IncMNAssisted Living Facility$0$8.1M
    Bemidji Ambulance Service, Inc.MNLand Ambulance$995.8K$6.4M
    Choice Therapy, P.A.MNRehabilitation Clinic/Center$0$6.2M

    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. Minnesota Distribution
    Mark Carlson — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota