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.

Lake Region Corporation (NPI 1689271355)

Field	Value
Entity Type	Organization
Organization	Lake Region Corporation
Address	224 3rd St Nw
City	Devils Lake
State	ND
ZIP	58301
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 6, 2020

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: LAKE REGION CORPORATION reports no Medicare billing on file and $24.3M in lifetime Medicaid revenue, indicating its operations are overwhelmingly dependent on Medicaid reimbursement rather than Medicare. Analysts should treat comparisons against Medicare peers as inapplicable for this entity and focus competitive analysis on Medicaid activity.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (T2016, T2021, W0715) together account for 82.4% of this provider's total Medicaid revenue. Those codes individually generate $9.7M (39.9%), $6.6M (27.1%), and $3.8M (15.4%) respectively, so changes to coverage, rates, or utilization of any of these three codes would materially affect overall revenue.

The code mix points to core habilitation services: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) are the top two drivers by dollars and claim volume, which suggests the provider operates both residential and day habilitation programs for waiver populations. Supporting codes such as T2019 (Habilitation, supported employment, waiver; per 15 minutes) and T2047 (prevocational) further indicate a portfolio focused on habilitation and vocational support rather than medical/specialty procedural care.

Competitive standing within the state is modest rather than dominant across key codes. T2016 ranks #12 of 29 providers (61th percentile; typical, unremarkable volume for this code), T2021 ranks #11 of 26 (60th percentile; typical, unremarkable volume for this code), and W0715 ranks #10 of 25 (63th percentile; typical, unremarkable volume for this code), meaning LAKE REGION participates at a typical level relative to in‑state peers rather than leading the market.

Claim-count and unit-value patterns show a mixed operational model: high-volume habilitation codes (T2021 at 39.6K claims, $166 avg paid/claim; T2016 at 32.6K claims, $297 avg paid/claim) provide the bulk of activity, while codes with far fewer claims deliver material revenue per encounter (W0715 7.2K claims at $524 avg paid/claim and W0725 611 claims at $3796 avg paid/claim). This combination indicates day/residential programs supported by higher‑unit, lower‑frequency services or items that materially contribute to revenue despite lower claim counts.

Several listed codes contribute only marginal revenue and occupy low statewide percentiles, suggesting ancillary or emerging service lines rather than core business lines. Examples include W0200 ($352.3K, 1.5% of Medicaid revenue; ranks #19 of 25, 25th percentile) and T2047 ($8.5K, 0.0% of Medicaid revenue; ranks #11 of 11, 0th percentile; typical, unremarkable volume for this code), both of which are small contributors relative to the top habilitation codes. Analysts should treat these as peripheral to the provider’s primary habilitation-focused revenue base.

The provider’s NPI was enumerated on 2020-10-06 (~6 years ago), indicating roughly mid-term tenure in the registry; this tenure aligns with an established Medicaid billing footprint but not a long legacy of claims history. Given the concentration in waiver habilitation codes, payers evaluating contract renewals or rate changes should weigh the provider’s relatively recent enumeration together with its concentrated Medicaid exposure.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	32,610	$300	$9.7M
T2021	Day habilitation, waiver; per 15 minutes	39,650	$170	$6.6M
W0715	N/A	7,160	$520	$3.8M
W0725	N/A	610	$3,800	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	17,770	$70	$1.3M
W0200	N/A	120	$2,890	$352.3K
W0700	N/A	3,510	$80	$266.5K
W0710	N/A	320	$150	$47.1K
T2047	Habilitation, prevocational, waiver; per 15 minutes	120	$70	$8.5K

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

Lake Region Corporation — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	12	30	21,220	$400	$14.1M
W0725	N/A	21	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	11	30	32,410	$170	$6.6M
W0715	N/A	10	30	6,250	$450	$3.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	9	20	11,310	$80	$1.2M
W0700	N/A	8	20	3,430	$280	$1.2M
T2047	Habilitation, prevocational, waiver; per 15 minutes	11	10	8,770	$90	$988.3K
W0710	N/A	13	10	3,170	$170	$605.8K
W0200	N/A	19	30	200	$1,670	$454.3K

Nearby Providers

Other providers in the same ZIP code as Lake Region Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Of Devils Lake	ND	Critical Access Hospital	$0	$11.1M
Emergency Ambulance Of Devils Lake	ND	Land Ambulance	$410K	$2.8M
Lake Region Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Mercy Hospital Of Devils Lake	ND	Emergency Medicine Physician	$0	$1.6M
Altru Health System	ND	Rural Health Clinic/Center	$0	$1.5M
Drs Moen Enderle And Krein PC	ND	Optometrist	$0	$440.3K
Lake Region District Health Unit	ND	Public Health or Welfare Agency	$0	$398.7K
Lifewise Associates LLC	ND	Clinic/Center	$0	$395.9K
Kristin Kenner	ND	General Practice Dentistry	$0	$285.9K
Lake Region Special Education	ND	Occupational Therapist	$0	$284K

Lake Region Corporation — Billing Profile & Reimbursement Data

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Lake Region Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References