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    OpenPayerNPI Medicare & MedicaidMedallus & Vacharothone Ltd
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    Medallus & Vacharothone Ltd — Billing Profile & Reimbursement Data

    NPI 1710496310 · Jamestown, ND · Family Medicine Physician

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    Medallus & Vacharothone Ltd is a family medicine physician provider located in Jamestown, North Dakota. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMedallus & Vacharothone Ltd
    Address721 1st Ave S Unit A
    CityJamestown
    StateND
    ZIP58401
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 26, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$33.5K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…360$40$14.1K
    99214The 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…130$90$11.8K
    99203The provider sees a new 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 provider…260$30$6.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…260$1$770
    J7510Prednisolone oral, per 5 mg30$1$30
    96372A 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…60$0$0
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…230$0$0
    G8421Bmi not documented and no reason is given110$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications50$0$0
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented30$0$0

    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.

    Full comparison — all codes billed, vs. North Dakota median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…103210360$100$498.2K
    99214The 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…105170300$100$415.8K
    99203The provider sees a new 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 provider…103090$60$69.3K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…820170$30$22.4K
    96372A 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…2330280$30$15.9K
    J7510Prednisolone oral, per 5 mg11030$1$20
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…210180$0$0
    G8421Bmi not documented and no reason is given110110$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications810300$0$0
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented21040$0$0

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Medallus & Vacharothone Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    After Hours Medical LLCUTUrgent Care Clinic/Center$0$3.2M
    Tooele Clinic CorpUTFamily Medicine Physician$0$1.3M
    James McintyreUTSports Medicine (Family Medicine) Physician$112.6K$0
    Jason AllenUTPhysician Assistant$94K$0
    Olyna AgeeNVFamily Nurse Practitioner$49.7K$0
    Marilyn EkMNFamily Nurse Practitioner$45.4K$0
    Elizabeth RogersNDPhysician Assistant$43K$0
    Amanda WardUTFamily Nurse Practitioner$42.8K$0
    Troy EdenNVPhysician Assistant$33.9K$490
    Mckie DelahuntyUTPhysician Assistant$27.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Medallus & Vacharothone Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anne Carlsen CenterNDEarly Intervention Provider Agency$0$28.6M
    Alpha Opportunities Inc.NDCommunity/Behavioral Health Agency$0$20.3M
    Anne Carlsen Center For ChildrenNDCommunity/Behavioral Health Agency$0$13.2M
    Triumph, Inc.NDCommunity/Behavioral Health Agency$0$10.9M
    Anne Carlsen CenterNDCommunity/Behavioral Health Agency$0$5.9M
    Lutheran Charity AssociationNDCritical Access Hospital$0$4M
    South Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$3.1M
    T & K Early InterventionNDEarly Intervention Provider Agency$0$3M
    Anne Carlsen CenterNDPhysical Therapist$0$2.2M
    Ringdahl, Inc.NDLand Ambulance$503.7K$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Medallus & Vacharothone Ltd — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota