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.

West River Health Services (NPI 1760570394)

Field	Value
Entity Type	Organization
Organization	West River Health Services
Address	211 Main Street
City	Scranton
State	ND
ZIP	58653
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$7.3K
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
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	170	$30	$5.4K
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…	10	$170	$2K

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

West River Health Services — 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
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…	204	210	360	$100	$498.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	17	30	260	$60	$55.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with West River Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West River Health Services	SD	Rural Health Clinic/Center	$0	$353.9K
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Brian Cromwell	MN	Diagnostic Radiology Physician	$222.2K	$390
Farhad Sani	MN	Diagnostic Radiology Physician	$220.6K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70
Sergey Shkurovich	MN	Diagnostic Radiology Physician	$162.1K	$0
Kevin Mcdonnell	MN	Diagnostic Radiology Physician	$140.1K	$17K
Julie Shaffrey	MN	Diagnostic Radiology Physician	$150.7K	$2.5K
Joseph Horner	MN	Diagnostic Radiology Physician	$131.7K	$1.4K
Yair Chaya	MN	Diagnostic Radiology Physician	$102.3K	$29K

West River Health Services — Billing Profile & Reimbursement Data

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West River Health Services — 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

Frequently Asked Questions

References