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.

P R Health Corporation (NPI 1679669741)

Field	Value
Entity Type	Organization
Organization	P R Health Corporation
Address	115 Vivian St.
City	Park River
State	ND
ZIP	58270
Taxonomy	Critical Access Hospital
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$122.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	870	$70	$59.3K
80053	The 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.	630	$20	$12.7K
85025	A 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…	1,040	$10	$12.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	80	$120	$10K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	520	$20	$10K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,980	$1	$7.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	290	$20	$5.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	30	$60	$1.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	50	$30	$1.5K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	10	$70	$880

Showing 1–10 of 13

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

P R Health Corporation — 1 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The 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.	24	50	630	$10	$49.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	31	40	210	$20	$37.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	37	100	170	$20	$34.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	29	30	470	$10	$34.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	23	90	400	$1	$20.7K
85025	A 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…	21	50	520	$1	$19.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	8	10	110	$80	$16.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	26	30	280	$30	$15.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1	20	210	$60	$11.2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	5	20	50	$20	$10K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with P R Health Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P R Health Corporation	ND	Rural Health Clinic/Center	$0	$1M
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Iqbal Masood	ND	Nephrology Physician	$311.8K	$0
Matthew Roller	ND	Neurology Physician	$300.7K	$0
Ashley Anderson	MN	Diagnostic Radiology Physician	$279.7K	$0
Adetola Haastrup	ND	Nephrology Physician	$257.5K	$0
Benjamin Meyer	MN	Diagnostic Radiology Physician	$255.9K	$0

Nearby Providers

Other providers in the same ZIP code as P R Health Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park River Volunteer Ambulance	ND	Land Ambulance	$105.8K	$0
Park River Dental, PC	ND	General Practice Dentistry	$0	$77.9K
Mark Helgeson	ND	Optometrist	$57K	$0
Joel Johnson	ND	Family Medicine Physician	$51.6K	$0
Dori Carlson	ND	Optometrist	$47K	$0
Lifetime Dental Partners, PLLC	ND	Dental Clinic/Center	$0	$38.3K
Heartland Eye Care, PC	ND	Optometrist	$0	$14.6K
Christian Unity Hospital Corporation	ND	Rural Health Clinic/Center	$0	$5.4K

P R Health Corporation — Billing Profile & Reimbursement Data

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P R Health Corporation — 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

Nearby Providers

Frequently Asked Questions

References