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.

Neil Karjalainen (NPI 1679831424)

Field	Value
Entity Type	Individual
Organization	Neil Karjalainen
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 30, 2012

Payer Source	Total Paid
Medicare	$21.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	10	$220	$2.9K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	20	$120	$2.4K
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	10	$170	$2.3K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$110	$2.2K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	30	$70	$2.1K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$130	$2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$50	$1.7K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	30	$50	$1.3K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	10	$90	$1.2K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	20	$50	$1.1K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Neil Karjalainen — 0 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00560	7	10	10	$250	$3.8K
01402	31	70	20	$150	$2.8K
00812	28	70	20	$80	$2.7K
00670	6	10	10	$190	$2.6K
01214	1	30	10	$160	$2.4K
00811	50	150	20	$70	$2.1K
00790	3	30	10	$130	$2K
00731	39	170	20	$70	$1.9K
00145	8	10	10	$110	$1.8K
01922	7	50	20	$80	$1.5K

Showing 1–10 of 13

Neil Karjalainen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References