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.

Jacob Pederson (NPI 1770243727)

Field	Value
Entity Type	Individual
Organization	Jacob Pederson
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	December 17, 2021

Payer Source	Total Paid
Medicare	$71K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	670	$80	$51.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	150	$70	$10.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$80	$6.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$140	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Jacob Pederson — 1 of 4 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. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	118	140	50	$160	$12.9K
99233	7	290	60	$90	$11.9K
99239	30	210	60	$90	$7.3K
99222	55	440	30	$100	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jacob Pederson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Tadeu Ambros	FL	Medical Oncology Physician	$1.7M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0

Jacob Pederson — Billing Profile & Reimbursement Data

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Jacob Pederson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References