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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

North Country Healthcare, Inc. (NPI 1750691788)

Field	Value
Entity Type	Organization
Organization	North Country Healthcare, Inc.
Address	300 S 6th St
City	Williams
State	AZ
ZIP	86046
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 8, 2010

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,720	$250	$7.4M
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…	970	$1	$1.9K
1111F	No Summary found for this code	1,640	$0	$0
1158F	No Summary found for this code	20	$0	$0
1159F	No Summary found for this code	1,740	$0	$0
1160F	No Summary found for this code	1,740	$0	$0
3008F	No Summary found for this code	1,410	$0	$0
3048F	The LDL C test (low density lipoprotein cholesterol test) is a lipid profile test which shows the levels of cholesterol in the blood. The provider uses the test to determine the patient’s risk of…	10	$0	$0
3074F	No Summary found for this code	830	$0	$0
3075F	No Summary found for this code	10	$0	$0

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

North Country Healthcare, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	82	360	3,640	$230	$7.7M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	265	310	960	$60	$705.5K
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…	735	3,040	750	$50	$343.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	169	480	960	$40	$308.1K
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…	354	2,780	600	$50	$267K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	366	420	600	$30	$177K
99203	The 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…	818	1,030	130	$70	$134.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	192	330	810	$20	$125.9K
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,…	226	850	230	$40	$72.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	254	300	600	$10	$62.6K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Country Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flagstaff Medical Center	AZ	General Acute Care Hospital	$0	$63.3M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$26.1M
North Country Healthcare Inc	AZ	Multi-Specialty Clinic/Center	$0	$15.1M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$9.6M
North Country Healthcare, Inc.	AZ	Pediatrics Physician	$0	$7.5M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$7.5M
Cynthia Martin	AZ	Hospice and Palliative Medicine (Internal Medicine) Physician	$56.4K	$0
Jesse Crane	IN	Emergency Medicine Physician	$39.3K	$0
Pearish Smith	AZ	Family Medicine Physician	$10.8K	$0

North Country Healthcare, Inc. — Billing Profile & Reimbursement Data

Sign up for North Country Healthcare, Inc. — Billing Profile & Reimbursement Data policy alerts

North Country Healthcare, Inc. — Billing Profile & Reimbursement Data

Sign up for North Country Healthcare, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References