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.

Central Dakota Family Physicians, PC (NPI 1720156664)

Field	Value
Entity Type	Organization
Organization	Central Dakota Family Physicians, PC
Address	922 Lincoln Ave
City	Harvey
State	ND
ZIP	58341
Taxonomy	Family Medicine Physician
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$91.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	1,300	$70	$87.2K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	230	$20	$3.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$1	$10

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

Central Dakota Family Physicians, PC — 0 of 3 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

3 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…	55	210	360	$100	$498.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	87	90	400	$1	$20.7K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	4	20	80	$20	$4.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Dakota Family Physicians, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Nyhus	ND	Family Medicine Physician	$109.4K	$0
Julie Keller	ND	Physician Assistant	$102.7K	$0

Nearby Providers

Other providers in the same ZIP code as Central Dakota Family Physicians, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hav-it Services	ND	Community/Behavioral Health Agency	$0	$11.9M
Hav-it Services	ND	Community/Behavioral Health Agency	$0	$6M
St Aloisius Hospital Inc	ND	Rural Health Clinic/Center	$0	$307.8K
Wells County District Health Unit	ND	Public Health or Welfare Agency	$59.5K	$63.1K
Harvey Ambulance Service, Inc.	ND	Ambulance	$121.8K	$0
Dakota Plains Chiropractic, PC	ND	Chiropractor	$0	$108K
Family Care Clinic, PC	ND	Primary Care Clinic/Center	$0	$65.6K
Robb Gottenborg	ND	Chiropractor	$39.4K	$0
Steven Kourajian	ND	Optometrist	$36.5K	$0
Harvey Dental Clinic PC	ND	Dental Clinic/Center	$0	$28.3K

Central Dakota Family Physicians, PC — Billing Profile & Reimbursement Data

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Central Dakota Family Physicians, PC — Billing Profile & Reimbursement Data

Sign up for Central Dakota Family Physicians, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References