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.

Anne Carlsen Center For Children (NPI 1750542478)

Field	Value
Entity Type	Organization
Organization	Anne Carlsen Center For Children
Address	701 3rd St Nw
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 25, 2008

Payer Source	Total Paid
Medicaid	$13.2M
Medicare	$0

Key Findings

ANNE CARLSEN CENTER FOR CHILDREN shows an effectively single-payer footprint: there is no Medicare billing on file and the provider reports $13.2M in Medicaid revenue, making Medicaid the sole documented source of federal payer revenue. Its NPI was enumerated on 2008-06-25 (~18 years ago), indicating a long-tenured presence in the market.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 86.8% of the provider's total Medicaid revenue. The specific drivers are T2021 ($5.8M, 44.0% of Medicaid revenue), W0715 ($4.5M, 34.4%), and S5125 ($1.1M, 8.4%), showing a narrow set of services responsible for most receipts.

The code mix points to waiver and direct-support operations: T2021 (Day habilitation, waiver; per 15 minutes) and S5125 (Attendant care services; per 15 minutes) together represent both day habilitation and attendant-care time-based services, implying the organization primarily delivers hands-on, time-billed habilitation and attendant care for waiver populations. W0715 (no description available) is the second-largest revenue source by dollar amount, so while its description is not provided, its $4.5M contribution (34.4%) signals a high-impact service line that warrants operational review.

Competitive standing is mixed and generally mid-market within the state: for T2021 the provider ranks #12 of 26 in-state (56th percentile) and for S5125 it ranks #9 of 18 (53th percentile), both characterized as typical, unremarkable volume. By contrast, W0715 ranks #5 of 25 in-state (83th percentile), indicating a stronger position for that particular code, but overall the organization is a modest participant statewide rather than a dominant provider.

Unit-economics and utilization contrast across codes: T2021 shows very high utilization (37.2K claims) at an average paid/claim of $156, while S5125 has 11.8K claims at $94 avg paid/claim, reflecting time-based, lower-unit-rate services. W0715 has 11.7K claims at a substantially higher avg paid/claim ($388), and W0200, despite only 566 claims, posts $742K in revenue with a $1311 avg paid/claim and ranks #3 of 25 in-state (92th percentile; typical, unremarkable volume), highlighting a small-volume, high-dollar component of revenue.

The concentration in a few waiver/time-based codes creates revenue and policy sensitivity: because T2021, W0715, and S5125 together account for 86.8% of Medicaid revenue, reimbursement changes, eligibility shifts, or policy edits affecting those specific codes would materially affect the provider's financials. Coupled with the absence of Medicare activity, the provider’s exposure is concentrated to Medicaid policy and managed-care contracting in-state.

Several smaller codes suggest niche or differentiated services that may support the core business: W0200 ($742K) and W0630 ($128K, ranks #1 of 1 with no state peer volume comparison available) are smaller contributors but notable for their higher per-claim payments and atypical peer footprints. These line items could represent specialized, higher-acuity, or less-competitive service offerings that complement the provider’s dominant day habilitation and attendant-care operations.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	37,160	$160	$5.8M
W0715	N/A	11,670	$390	$4.5M
S5125	Attendant care services; per 15 minutes	11,800	$90	$1.1M
W0200	N/A	570	$1,310	$742K
T2019	Habilitation, supported employment, waiver; per 15 minutes	9,890	$40	$435K
W0655	N/A	970	$190	$185.9K
W0705	N/A	1,710	$90	$151.7K
W0630	N/A	290	$450	$128K
S5150	Unskilled respite care, not hospice; per 15 minutes	1,060	$90	$92K

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

Anne Carlsen Center For Children — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	12	30	32,410	$170	$6.6M
W0715	N/A	5	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	9	20	10,750	$180	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	11	20	11,310	$80	$1.2M
W0200	N/A	3	30	200	$1,670	$454.3K
W0705	N/A	9	10	2,950	$110	$383K
W0630	N/A	1	10	290	$450	$128K
S5150	Unskilled respite care, not hospice; per 15 minutes	3	10	540	$150	$119.6K
W0655	N/A	2	10	970	$100	$80.7K

Nearby Providers

Other providers in the same ZIP code as Anne Carlsen Center For Children, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Early Intervention Provider Agency	$0	$28.6M
Alpha Opportunities Inc.	ND	Community/Behavioral Health Agency	$0	$20.3M
Triumph, Inc.	ND	Community/Behavioral Health Agency	$0	$10.9M
Anne Carlsen Center	ND	Community/Behavioral Health Agency	$0	$5.9M
Lutheran Charity Association	ND	Critical Access Hospital	$0	$4M
South Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
T & K Early Intervention	ND	Early Intervention Provider Agency	$0	$3M
Anne Carlsen Center	ND	Physical Therapist	$0	$2.2M
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M

Anne Carlsen Center For Children — Billing Profile & Reimbursement Data

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Anne Carlsen Center For Children — 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

Nearby Providers

Frequently Asked Questions

References