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.

Northwest Behavioral Health Clinic (NPI 1770524613)

Field	Value
Entity Type	Organization
Organization	Northwest Behavioral Health Clinic
Address	316 2nd Ave W
City	Williston
State	ND
ZIP	58801
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicaid	$872.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,570	$330	$518.1K
H2014	Skills training and development, per 15 minutes	1,860	$50	$92.9K
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…	440	$150	$66.4K
90834	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…	390	$140	$55.6K
T1016	Case management, each 15 minutes	450	$120	$52.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	450	$80	$36.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	830	$40	$30.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	140	$60	$8.3K
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…	80	$60	$4.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	30	$140	$3.5K

Showing 1–10 of 12

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

Northwest Behavioral Health Clinic — 0 of 12 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

12 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…	96	210	360	$100	$498.2K
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…	42	170	300	$100	$415.8K
T1016	Case management, each 15 minutes	14	20	1,390	$100	$242.6K
H2035	Alcohol and/or other drug treatment program, per hour	19	20	590	$90	$206.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	21	40	520	$80	$181.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	8	10	900	$130	$178.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	9	10	1,120	$80	$153.7K
H2014	Skills training and development, per 15 minutes	5	10	1,440	$50	$135.9K
90834	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…	42	80	400	$80	$133.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	16	20	260	$50	$127.9K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Behavioral Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Capan	ND	Psychiatry Physician	$38.1K	$0
Nicole Erasmus	ND	Clinical Social Worker	$2.5K	$0
Joni Heine	ND	Clinical Social Worker	$1.4K	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Behavioral Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunity Foundation Inc	ND	Developmentally Disabled Services Day Training Agency	$0	$26.3M
Medscan Laboratory Inc	ND	Clinical Medical Laboratory	$7.2M	$14.8M
Mercy Medical Center	ND	Critical Access Hospital	$0	$4M
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Summit Counseling Inc	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K
Ideal Option, PLLC	ND	Clinic/Center	$0	$690.9K

Northwest Behavioral Health Clinic — Billing Profile & Reimbursement Data

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Northwest Behavioral Health Clinic — 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

Nearby Providers

Frequently Asked Questions

References