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 (NPI 1770889594)

Field	Value
Entity Type	Organization
Organization	Anne Carlsen Center
Address	701 3rd St Nw
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	January 27, 2011

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

Key Findings

ANNE CARLSEN CENTER is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $28.6M. The provider’s NPI was enumerated on 2011-01-27 (~15 years ago), indicating an established operating history in the state market.

Revenue concentration is high: the precomputed top three Medicaid codes account for 66.2% of the provider’s total Medicaid revenue. Specifically, S5111 generated $8.5M (29.9%), W0500 generated $7.6M (26.6%), and T2025 generated $2.7M (9.6%) of total Medicaid revenue, signaling dependence on a small set of service lines.

The code mix aligns with an Early Intervention Provider Agency model: S5111 (Home care training, family; per session) is the single largest revenue driver at $8.5M, and T2025 (Waiver services; nos) and T2024 (Service assessment/plan of care development, waiver) together point to a heavy operational focus on waiver and home- or family-based supports. This pattern suggests core operations are centered on family training and waiver program delivery rather than facility-based medical procedures.

Competitive standing in-state is dominant for several core codes: the provider ranks #1 of 9 for S5111 and #1 of 9 for W0500, both at the 100th percentile and described as notably above typical state volume. Multiple other codes (T2024, W0530, W0510, T1023, W0520) also show #1 statewide ranks and 100th percentile placements, indicating broad market leadership across related service categories.

Not all high-revenue codes show the same relative dominance: T2025, while a top-three revenue driver at $2.7M (9.6%), ranks #2 of 9 and is described as having typical, unremarkable volume for this code. This contrast implies the provider’s top-dollar exposure is split between both uniquely strong areas (S5111, W0500) and more typical program activity (T2025).

Several high-volume codes lack public descriptions (for example W0500, W0530, W0510, W0520), yet together they account for substantial revenue ($7.6M for W0500; $2.3M for W0530; $2.3M for W0510; $1.1M for W0520). The absence of code descriptors in the dataset means interpretation of exact service content is limited, but the financial and percentile signals make clear these unspecified codes are central to the provider’s Medicaid business.

The provider’s dominance on many codes is reinforced by percentile and rank detail: beyond the top two codes, T2024 is $2.7M (9.6%) and ranks #1 of 10 at the 100th percentile, while T1023 contributes $1.3M (4.4%) and ranks #1 of 8 at the 100th percentile. Taken together, these placements show sustained leadership across both assessment/plan and screening/eligibility-related services within the state’s early intervention and waiver ecosystem.

High revenue concentration in a narrow set of codes (top three = 66.2%) creates material exposure to coding, rate, or policy changes affecting those services. Given the provider’s long tenure (NPI since 2011-01-27) and its market leadership on many codes, payers and analysts should treat changes to S5111 and W0500 reimbursement or eligibility rules as having outsized impact on the provider’s financial profile.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5111	Home care training, family; per session	63,740	$130	$8.5M
W0500	N/A	62,870	$120	$7.6M
T2025	Waiver services; not otherwise specified (nos)	9,720	$280	$2.7M
T2024	Service assessment/plan of care development, waiver	6,810	$400	$2.7M
W0530	N/A	6,770	$350	$2.3M
W0510	N/A	8,720	$260	$2.3M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3,070	$410	$1.3M
W0520	N/A	3,150	$340	$1.1M

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 — 7 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5111	Home care training, family; per session	1	10	12,520	$140	$2.8M
W0500	N/A	1	10	10,780	$140	$2M
T2025	Waiver services; not otherwise specified (nos)	2	10	3,670	$300	$1.4M
W0510	N/A	1	10	3,780	$290	$1M
T2024	Service assessment/plan of care development, waiver	1	10	2,140	$410	$880.1K
W0530	N/A	1	10	1,580	$400	$854.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	10	800	$420	$412.2K
W0520	N/A	1	10	380	$390	$346.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Physical Therapist	$0	$2.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha Opportunities Inc.	ND	Community/Behavioral Health Agency	$0	$20.3M
Anne Carlsen Center For Children	ND	Community/Behavioral Health Agency	$0	$13.2M
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
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M
Innovis Health, LLC.	ND	Family Medicine Physician	$0	$991.3K

Anne Carlsen Center — Billing Profile & Reimbursement Data

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Anne Carlsen Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References