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.

Brian Dahl (NPI 1659500718)

Field	Value
Entity Type	Individual
Organization	Brian Dahl
Address	310 N 9th Street
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 10, 2009

Payer Source	Total Paid
Medicare	$247.8K
Medicaid	$0

Key Findings

This provider’s billing is effectively single-payer: total Medicare revenue is $247.8K while Medicaid shows none on file, indicating the practice’s public-payer exposure is concentrated in Medicare rather than in state Medicaid programs. That gap suggests analytics or contracting reviews should treat this profile as Medicare-dominant rather than mixed-payer.

Revenue concentration is high: the precomputed top three Medicare codes account for 73.0% of this provider’s total Medicare revenue, driven by 27447 (34.4% of Medicare revenue, $85.3K), 27130 (30.4% of Medicare revenue, $75.3K), and 99215 (8.2% of Medicare revenue, $20.2K). This level of concentration means changes in reimbursement or volume for these specific codes would materially affect the provider’s Medicare revenue.

The code mix points to a surgical arthroplasty specialty with substantial perioperative and outpatient management. High-revenue surgical codes 27447 and 27130 are procedures for knee and hip replacement respectively, and are complemented by frequent high-complexity office visits (99215: 163 claims, $124 avg paid/claim, $20.2K), indicating the provider performs major joint replacements and manages pre- and post-operative care in clinic.

Competitive standing is mixed by code: 27130 ranks #487 of 8062 nationally (94th percentile; notably above typical national volume), signaling an above-typical hip replacement volume at the national level, while 27447 ranks #1211 of 12089 (90th percentile; typical, unremarkable volume), implying knee replacement volume is relatively strong but characterized by the dataset as unremarkable. Additional imaging/service codes such as 72190 rank #11 of 852 (99th percentile; notably above typical national volume) and 77077 ranks #31 of 487 (94th percentile; typical, unremarkable volume), reinforcing that certain imaging and hip-related services are especially prominent for this provider.

Office-based service mix supports hands-on nonoperative care as well: 20610 shows 100 claims ($50 avg paid/claim, $5K revenue) and J3301 appears 368 times ($1 avg paid/claim, $368 revenue), indicating frequent joint injections or corticosteroid administrations as part of the practice’s conservative treatment options. These lower-revenue, higher-count services are consistent with an orthopedic practice that combines operative arthroplasty with recurring office procedures.

Imaging and diagnostic utilization is notable and concentrated in orthopaedic imaging: codes such as 77077 (189 claims, $34 avg paid/claim, $6.4K revenue), 73564 (167 claims, $30 avg paid/claim, $5K revenue), and 72190 (137 claims, $30 avg paid/claim, $4.1K revenue) appear prominently, which aligns with pre/post-operative and diagnostic workflows for hip and knee pathology. The very high rank for 72190 (99th percentile; notably above typical national volume) suggests unusually heavy use of pelvic imaging relative to peers.

The provider shows sustained market presence with an NPI enumerated on 2009-07-10 (~17 years ago), indicating a long tenure in the Medicare program; that longevity supports interpreting the current code mix as an established practice pattern rather than a transient billing profile. Analysts assessing network value or referral relationships should weigh that extended enrollment alongside the concentration in arthroplasty codes.

Beyond the top surgical codes, many E/M and radiology codes rank in middle to upper percentiles but are labeled typical or unremarkable (for example, 99215 ranks #15972 of 145531, 89th percentile; typical, unremarkable volume), which paints a picture of a specialist with reliably busy clinic activity but not universally exceptional volumes across all service lines. This suggests the provider is a focused, established orthopaedic surgeon whose financial performance is driven largely by a small set of high-value procedures rather than a broad, high-volume mix across many low-value services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	90	$970	$85.3K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	80	$970	$75.3K
99215	The provider sees an established 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…	160	$120	$20.2K
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…	120	$90	$11.1K
99213	The 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…	180	$60	$10.2K
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…	60	$130	$7.7K
77077	The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.	190	$30	$6.4K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	170	$30	$5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	100	$50	$5K
99204	The 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…	40	$110	$4.8K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Brian Dahl — 4 of 20 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. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	1	60	40	$1,110	$47.9K
27130	2	40	30	$970	$35K
99214	607	1,470	90	$60	$10.4K
99215	42	480	40	$100	$6.9K
99213	303	1,490	80	$50	$5.8K
99205	27	160	30	$140	$5.1K
99204	167	570	30	$100	$4.4K
77077	1	10	130	$30	$3.4K
20610	42	160	50	$40	$3.4K
99203	82	490	30	$60	$2.5K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
William Noyes	ND	Radiation Oncology Physician	$1.2M	$0
Jonathan Marshall	NY	Diagnostic Radiology Physician	$761.9K	$4.4K
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Aaron Fortney	ND	Ophthalmology Physician	$561.1K	$0
Monte Leidenix	ND	Ophthalmology Physician	$553.3K	$0
Mark Sczepanski	ND	Ophthalmology Physician	$545.7K	$0
Rachel Ness	ND	Dermatology Physician	$539.5K	$0
Ikechukwu Onyeka	ND	Internal Medicine Physician	$486.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Brian Dahl — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References