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.

Midwest Mental Health Clinic PLLC (NPI 1710600028)

Field	Value
Entity Type	Organization
Organization	Midwest Mental Health Clinic PLLC
Address	121 University Dr N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	September 21, 2022

Payer Source	Total Paid
Medicaid	$405.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,770	$230	$400.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	140	$40	$5.1K

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

Midwest Mental Health Clinic PLLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2	10	440	$230	$194.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	4	10	130	$50	$32.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Midwest Mental Health Clinic PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M

Nearby Providers

Other providers in the same ZIP code as Midwest Mental Health Clinic PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$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
Positive Psychological Initiatives LLC	ND	Psychologist	$0	$392.6K

Midwest Mental Health Clinic PLLC — Billing Profile & Reimbursement Data

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Midwest Mental Health Clinic PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References