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.

Family Health Care Center (NPI 1710066352)

Key Findings

Field	Value
Entity Type	Organization
Organization	Family Health Care Center
Address	301 Np Ave N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

FAMILY HEALTH CARE CENTER is effectively a Medicaid-focused provider with no Medicare billing on file and lifetime Medicaid revenue of $12.7M. The absence of Medicare activity makes the organization a de facto single-payer (Medicaid) operation in the available data, concentrating its revenue and utilization reporting within state Medicaid programs rather than Medicare channels.

Revenue is heavily concentrated in a small set of office E/M codes: 99213 alone accounts for $6.9M (55.3% of this provider's total Medicaid revenue), and the top three Medicaid codes together account for 82.7% of Medicaid revenue. This concentration indicates that routine established outpatient visits are the dominant revenue driver for the center and that a few visit types explain the bulk of its Medicaid receipts.

The provider’s service mix and code profile are consistent with a primary-care–centric FQHC model: high volume in 99213, 99214, and 99212 paired with substantial vaccine administration codes (90471, 90472, 90686) and basic lab draws (36415). The presence of G0467 (FQHC visit) with 3.7K claims and a rank of #1 of 5 in-state (100th percentile; notably above typical state volume for this code) confirms FQHC-style bundled visit billing alongside standalone E/M reporting to Medicaid.

Competitive standing for primary care is strong within North Dakota: 99213 ranks #5 of 206 providers (98th percentile) and 99212 ranks #3 of 58 providers (96th percentile), both labeled as notably above typical state volume. 99214 is also high-volume though characterized as typical (11th of 171, 94th percentile); together these ranks show the center is a major pediatric/adult primary-care access point in-state rather than a marginal participant.

The center demonstrates notable specialty or allied-service activity around vision and immunizations: 92014 (comprehensive established eye exam) is $567.1K and ranks #3 of 46 (96th percentile; notably above typical state volume), 92015 and 99173 also show elevated pediatric/vision activity. High percentile rankings for vaccine codes such as 90686 (8K claims, rank #3 of 72, 97th percentile; notably above typical state volume) indicate substantial preventive-care and immunization throughput.

Behavioral health and longer psychotherapy sessions are present but not dominant: 90837 and 90834 appear in the top-25 with modest revenue shares and are generally placed at middling percentiles (90837 at the 53rd percentile, 90834 at the 42nd percentile), indicating routine but not leading behavioral-health billing relative to state peers. Psychiatric evaluation 90792 is present but ranks in the lower half of in-state providers (42nd percentile), consistent with an integrated but secondary behavioral-health service line.

Several individual codes display extreme or top-ranked status within small peer groups that warrant attention: 0011A is listed as rank #1 of 22 (100th percentile; extreme outlier, far above typical state volume), and 99173 is #1 of 8 (100th percentile; notably above typical state volume). These outlier labels suggest exceptional relative intensity for those specific services compared with other in-state providers and deserve follow-up if operational detail is required.

Tenure and organizational identity reinforce the FQHC interpretation: the NPI was enumerated on 2006-11-03 (~20 years ago), indicating long-standing enrollment in federal/state programs and ample time to build high Medicaid patient volume and established workflows for primary care, immunization, and vision services. Given the longevity plus the concentration in a few visit codes, analysts should treat this entity as an established, Medicaid-centered primary care hub in Fargo, ND.

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	44,480	$160	$6.9M
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…	11,400	$160	$1.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10,000	$160	$1.6M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	3,640	$160	$567.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20,060	$20	$481.4K
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC	580	$220	$128.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	3,660	$30	$106.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	17,320	$10	$103.9K
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.	2,360	$40	$103.9K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	2,070	$40	$89.2K

Showing 1–10 of 84

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

Family Health Care Center — 10 of 25 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

84 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…	5	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…	11	170	300	$100	$415.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3	60	130	$190	$242.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10	10	640	$80	$184.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9	20	230	$80	$151.9K
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…	48	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…	66	140	390	$110	$129.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8	10	280	$190	$111.2K
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…	34	40	190	$110	$99K
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC	1	10	400	$210	$85.2K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K
Positive Psychological Initiatives LLC	ND	Psychologist	$0	$392.6K

Family Health Care Center — Billing Profile & Reimbursement Data

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Family Health Care Center — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	MN	Dental Clinic/Center	$0	$5.9M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$224.3K
Nicole Collins	ND	Optometrist	$46.6K	$0
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$44.2K
Andrew Hvidston	ND	Orthopaedic Surgery Physician	$41.1K	$0
Melissa Fofana	ND	Family Nurse Practitioner	$35.8K	$0
Paula Osowski	ND	Physician Assistant	$6.7K	$0