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.

Peterson Medical Clinics, LLC (NPI 1699295774)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peterson Medical Clinics, LLC
Address	3674 S Washington St
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 21, 2017

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

This provider is effectively single‑payer: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $8.8M, indicating the entity’s entire reported lifetime federal billing footprint in our data is driven by Medicaid. The absence of Medicare claims means analyses of Medicare risk, reimbursement mix, or national benchmarking cannot be performed for this NPI.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 85.9% of this provider's total Medicaid revenue, with 99214 alone representing $6.1M (69.4%) of Medicaid revenue. That level of concentration around a single E/M code suggests material business exposure to changes in outpatient established‑patient reimbursement or coding policy.

The code mix points to an operational model centered on high‑volume outpatient E/M and behavioral health plus substantial nursing‑facility work: 99214 (65.7K claims, $93 avg paid/claim, $6.1M revenue) is the dominant revenue driver, while 90834 (8.7K claims, $71 avg paid/claim, $615.5K revenue) and 90832 (6.8K claims, $45 avg paid/claim, $307.8K revenue) show sizable psychotherapy volumes. Together with high counts for brief assessment 96127 (26.7K claims, $3 avg paid/claim, $80.2K revenue), the profile is consistent with a major behavioral‑health and chronic care management orientation within ambulatory settings.

The provider is a statewide volume leader for multiple codes: 99214 ranks #4 of 171 providers in‑state (98th percentile; extreme outlier, far above typical state volume for this code), 99309 ranks #1 of 19 (100th percentile; extreme outlier), and Q3014 ranks #1 of 25 (100th percentile; extreme outlier). These ranks indicate the clinic is a dominant or unusually large participant in North Dakota for high‑volume established E/M, nursing‑facility subsequent care visits, and telehealth originating‑site activity.

There is a clear nursing‑facility/subsequent care component to the business: 99309 (20.8K claims, $40 avg paid/claim, $833.9K revenue) is the #2 revenue code overall and other nursing facility codes such as 99310 (3K claims, $40 avg paid/claim, $118.5K revenue) and 99308 (3.5K claims, $22 avg paid/claim, $76.8K revenue) appear repeatedly. The presence of multiple nursing‑facility E/M codes with high claim volumes and top‑state ranks signals substantial post‑acute or long‑term care workflows rather than purely clinic‑based episodic care.

Telehealth and originating‑site activity are notable: Q3014 shows 20K claims for $320.7K revenue and ranks #1 in‑state (100th percentile; extreme outlier), implying the provider either hosts a large number of originating‑site visits or operates as a common physical access point for telehealth encounters. Combined with high volumes of psychotherapy codes (90834, 90832) this suggests a hybrid model that blends in‑person nursing/clinic visits and remote behavioral‑health services.

Operational intake appears skewed toward established patients rather than new high‑complexity referrals: 99204 (570 claims, $142 avg paid/claim, $80.9K revenue) and 99205 (21 claims, $144 avg paid/claim, $3K revenue) are small contributors relative to established‑patient codes like 99214 and 99215 (557 claims, $129 avg paid/claim, $71.9K revenue). This implies the practice’s revenue base is maintained through ongoing care for existing patients rather than rapid new‑patient growth or episodic high‑complexity consults.

Tenure and scale: the NPI was enumerated 2017-06-21 (~9 years ago), and the provider has accumulated $8.8M in Medicaid revenue over its lifetime in the data. Given the relatively recent enumeration combined with multiple 100th‑percentile and extreme‑outlier ranks across codes, the clinic appears to have scaled quickly within the state Medicaid market to become a leading supplier for several services.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,730	$90	$6.1M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	20,850	$40	$833.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,670	$70	$615.5K
Q3014	Telehealth originating site facility fee	20,040	$20	$320.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,840	$50	$307.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	2,960	$40	$118.5K
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…	570	$140	$80.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	26,740	$1	$80.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,490	$20	$76.8K
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…	560	$130	$71.9K

Showing 1–10 of 21

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

Peterson Medical Clinics, LLC — 8 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	63	210	360	$100	$498.2K
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…	4	170	300	$100	$415.8K
Q3014	Telehealth originating site facility fee	1	30	130	$180	$355.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4	80	400	$80	$133.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	84	140	390	$110	$129.2K
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…	11	40	190	$110	$99K
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…	7	30	60	$90	$83.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	20	470	$40	$77.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1	30	260	$60	$55.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15	40	90	$130	$43.7K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Pitera	NJ	Psychiatry Physician	$106.4K	$0
Timothy Peterson	ND	Addiction Medicine (Preventive Medicine) Physician	$83.5K	$0
Megan Weddingfeld	ND	Psychiatric/Mental Health Nurse Practitioner	$72.2K	$0
Elizabeth Rogers	ND	Physician Assistant	$43K	$0
Natasha Krebs	ND	Psychiatric/Mental Health Nurse Practitioner	$27K	$0
Dolores Van Bourgondien	ND	Psychiatric/Mental Health Nurse Practitioner	$26.5K	$0
Faith Murray	GA	Psychiatric/Mental Health Nurse Practitioner	$25.2K	$0
Kimber-lee Osowski	ND	Clinical Social Worker	$24.2K	$0
Rebekah Laupp	ND	Physician Assistant	$20.5K	$0
Charles Morgan	ND	Clinical Social Worker	$19.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M

Peterson Medical Clinics, LLC — Billing Profile & Reimbursement Data

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Peterson Medical Clinics, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References