Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGrand Forks Growth And Support Center
    Ask Trek AI about this page

    Grand Forks Growth And Support Center — Billing Profile & Reimbursement Data

    NPI 1679170179 · Grand Forks, ND · Community/Behavioral Health Agency

    Customize your policy alerts

    Sign up for Grand Forks Growth And Support Center — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Grand Forks Growth And Support Center is a community/behavioral health agency provider located in Grand Forks, North Dakota. This profile covers 0 Medicare and 4 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

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGrand Forks Growth And Support Center
    Address2105 Gateway Dr
    CityGrand Forks
    StateND
    ZIP58203
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedOctober 7, 2020

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

    Payer SourceTotal Paid
    Medicaid$7.4M
    Medicare$0

    Key Findings

    This provider is effectively Medicaid-focused: there is no Medicare billing on file and lifetime Medicaid revenue totals $7.4M, indicating a single-payer operational profile driven by Medicaid programs rather than Medicare fee-for-service business. The absence of any Medicare claims suggests the organization’s services are targeted or contracted primarily within Medicaid benefit structures.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (T2021, W0715, T2016) account for 96.1% of the provider’s total Medicaid revenue. Specifically, T2021 generates $4M (54.0%), W0715 generates $2.6M (35.6%), and T2016 generates $486.6K (6.5%) of the $7.4M Medicaid total.

    The code mix points to a habilitation- and residential-focused service model: T2021 (Day habilitation, waiver; per 15 minutes) is the single largest revenue driver at $4M, and T2016 (Habilitation, residential, waiver; per diem) contributes a material residential component at $486.6K. Together with the provider’s taxonomy as a Community/Behavioral Health Agency, these codes indicate primary operations delivering day habilitation and residential habilitation services under Medicaid waivers.

    One high-dollar, lower-frequency component is present: W0715 (no description available) accounts for $2.6M with an average paid/claim of $689 across 3.8K claims, suggesting a substantial revenue stream tied to a code without an on-file description; this code alone represents 35.6% of Medicaid revenue, so its billing definition and contractual terms are critical to understanding the provider’s business mix.

    The provider’s in-state competitive standing on its top codes is modest rather than dominant: T2021 ranks #20 of 26 in-state (24th percentile) and W0715 ranks #19 of 25 (25th percentile), both characterized as "typical, unremarkable volume for this code." T2016 ranks #26 of 29 (11th percentile), placing the organization among smaller in-state providers for residential habilitation per diem services.

    The unit economics show a mix of high-frequency, lower-unit payments and lower-frequency, higher-unit payments: T2021 has 20.8K claims with an average paid/claim of $193, while W0715 has 3.8K claims at $689 avg paid/claim and W0200 (not in the top three) has 217 claims at $1,347 avg paid/claim and contributed $292.3K (3.9% of Medicaid revenue). This pattern indicates core revenue is earned through high-volume day habilitation units supplemented by fewer, higher-priced service lines.

    Tenure is relatively recent: the NPI was enumerated on 2020-10-07 (~6 years ago), suggesting the provider has been active under this enrollment for a short-to-moderate period relative to longer-established statewide peers. Ongoing trend monitoring would clarify whether the current concentration and rank positions are stable or evolving.

    None of the listed high-revenue codes are flagged as statistical outliers in the source notes; each top code is described as "typical, unremarkable volume for this code," and W0200 sits near the middle statewide (58th percentile). In other words, the provider’s billing for leading codes aligns with common in-state patterns rather than indicating exceptional or anomalous volume.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2021Day habilitation, waiver; per 15 minutes20,790$190$4M
    W0715N/A3,840$690$2.6M
    T2016Habilitation, residential, waiver; per diem1,740$280$486.6K
    W0200N/A220$1,350$292.3K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem263021,220$400$14.1M
    T2021Day habilitation, waiver; per 15 minutes203032,410$170$6.6M
    W0715N/A19306,250$450$3.8M
    W0200N/A1130200$1,670$454.3K

    Nearby Providers

    Other providers in the same ZIP code as Grand Forks Growth And Support Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharehouse Grand ForksNDSubstance Use Disorder Rehabilitation Clinic/Center$0$4.1M
    All Embracing Home Care, LLCNDHome Health Agency$0$456.1K
    Prairie Harvest Mental HealthNDCommunity/Behavioral Health Agency$0$243.1K
    Guardian Flight LLCNDAir Ambulance$188.9K$0
    Shanta GauthamNDInternal Medicine Physician$130.6K$0
    Sara NausheenNDInfectious Disease Physician$110.3K$0
    Diane BaumbachNDClinical Social Worker$0$106.6K
    Bruce PehlNDFamily Medicine Physician$99.5K$0
    A NielsenNDFamily Medicine Physician$57.8K$0
    Paragon Chiropractic And Wellness CenterNDChiropractor$0$55.7K

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Grand Forks Growth And Support Center — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota