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    OpenPayerNPI Medicare & MedicaidMercy Hospital Of Devils Lake
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    Mercy Hospital Of Devils Lake — Billing Profile & Reimbursement Data

    NPI 1659343093 · Devils Lake, ND · Critical Access Hospital

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    Mercy Hospital Of Devils Lake is a critical access hospital provider located in Devils Lake, North Dakota. This profile covers 0 Medicare and 73 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMercy Hospital Of Devils Lake
    Address1031 7th St Ne
    CityDevils Lake
    StateND
    ZIP58301
    TaxonomyCritical Access Hospital
    NPI EnumeratedFebruary 1, 2006

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

    Payer SourceTotal Paid
    Medicaid$11.1M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer on the files available: Medicare shows "none below — this provider has no Medicare billing on file" while Total Medicaid revenue is $11.1M. The absence of Medicare billing on file means the dataset captures a Medicaid‑dominated fiscal footprint rather than the typical mixed Medicare/Medicaid profile seen at many hospitals.

    Revenue is highly concentrated in a narrow set of emergency department evaluation & management codes: the precomputed top‑3 Medicaid codes (99284, 99285, 99283) account for 84.4% of this provider's total Medicaid revenue. Those three codes individually generated $3.3M (29.8%), $3M (27.6%), and $3M (27.0%) respectively, indicating the bulk of reimbursed activity is ED visits of low, moderate, and high complexity.

    The code mix indicates an ED‑centric operating model supported by on‑site infusion and lab services. In addition to the dominant ED E/M codes, the provider reports 96374 ($296.6K, 2.7%), 96365 ($104.5K, 1.0%), 80053 ($183.2K, 1.7%), and 85025 ($98.6K, 0.9%), suggesting emergency care workflows that require rapid medication administration and a broad set of point‑of‑care and send‑out laboratory testing.

    Competitive standing across the state is mixed but leans toward a meaningful ED volume for some services: 99283 ranks #9 of 48 providers in‑state at the 83rd percentile, while 99284 is #11 of 33 (69th percentile) and 99285 is #7 of 19 (67th percentile). In plain terms, the hospital is a comparatively strong performer for lower‑complexity ED visits in North Dakota and a more typical participant for moderate–high complexity ED visits.

    There are specific service lines that register as above‑typical compared with in‑state peers. 96365 (initial IV infusion) is ranked #2 of 14 providers (92nd percentile) and is labeled "notably above typical state volume for this code," with $104.5K in Medicaid revenue; 83605 (lactate) is ranked #1 of 8 (100th percentile) and labeled "notably above typical state volume for this code," with $46.7K in Medicaid revenue. These signals point to higher‑than‑typical use of IV infusion and lactate testing, which align with acute medical and sepsis‑evaluation activity commonly managed through the ED.

    Claim volumes for basic ED and lab throughput are substantial, supporting the characterization of steady patient flow: 99283 has 10.3K claims, 99284 has 7.9K claims, 99285 has 4.7K claims, 85025 has 12.3K claims, 36415 has 13.7K claims, and 80053 has 11.4K claims. Those multi‑thousand claim counts are consistent with a small rural hospital acting as the primary local emergency and diagnostic hub rather than a low‑volume clinic.

    The provider is a long‑tenured Critical Access Hospital: Taxonomy is Critical Access Hospital and the NPI was enumerated 2006-02-01 (~20 years ago). The two‑decade enumeration implies established local relationships and an operational history that aligns with ongoing Medicaid revenue capture.

    Because top ED codes (99284, 99285, 99283) generate 84.4% of Medicaid revenue and Medicare billing is absent, the hospital’s revenue mix is highly concentrated and therefore potentially sensitive to changes in Medicaid policy, reimbursement for ED services, or shifts in local patient volume. Analysts should treat this as a concentrated ED‑dependent profile when comparing financial resilience or planning network strategies with other rural providers.

    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.

    73 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.7,940$410$3.3M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.4,700$650$3M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.10,350$290$3M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1,780$170$296.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.11,450$20$183.2K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.130$1,100$142.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3,500$30$111.8K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.640$170$106.1K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.750$140$104.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…12,320$10$98.6K

    Showing 1–10 of 73

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    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

    73 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.7201,120$220$2M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.11301,280$180$1.4M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.950670$150$829.9K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1230450$110$198.3K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6101,400$50$172.8K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1220230$90$153.4K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.610630$150$148.3K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…61060$70$144.2K
    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.1110310$330$121.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.220920$30$111.2K

    Showing 1–10 of 73

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mercy Hospital Of Devils Lake, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altru Health SystemNDClinic/Center$0$29.7M
    Mercy Hospital Of Devils LakeNDEmergency Medicine Physician$0$1.6M
    Wesley PruettMNDiagnostic Radiology Physician$441.3K$770
    Robert GardnerCADiagnostic Radiology Physician$335.5K$0
    Iqbal MasoodNDNephrology Physician$311.8K$0
    Adetola HaastrupNDNephrology Physician$257.5K$0
    Farhad SaniMNDiagnostic Radiology Physician$220.6K$0
    Arthur MontesMNDiagnostic Radiology Physician$20K$156.5K
    Puvanalingam AyyaduraiNDCardiovascular Disease Physician$167.8K$0
    Attila DalmiNDInternal Medicine Physician$165.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Mercy Hospital Of Devils Lake, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lake Region CorporationNDCommunity/Behavioral Health Agency$0$24.3M
    Emergency Ambulance Of Devils LakeNDLand Ambulance$410K$2.8M
    Lake Region Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$2.4M
    Altru Health SystemNDRural Health Clinic/Center$0$1.5M
    Drs Moen Enderle And Krein PCNDOptometrist$0$440.3K
    Lake Region District Health UnitNDPublic Health or Welfare Agency$0$398.7K
    Lifewise Associates LLCNDClinic/Center$0$395.9K
    Kristin KennerNDGeneral Practice Dentistry$0$285.9K
    Lake Region Special EducationNDOccupational Therapist$0$284K
    Evolution CounselingNDSubstance Use Disorder Rehabilitation Clinic/Center$0$209.5K

    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.

    Medicaid Revenue by Year vs. North Dakota Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Mercy Hospital Of Devils Lake — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota