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

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

Sanford Health Of Northern Minnesota (NPI 1780628149)

Field	Value
Entity Type	Organization
Organization	Sanford Health Of Northern Minnesota
Address	1233 34th St Nw
City	Bemidji
State	MN
ZIP	56601
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

232 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	161,220	$30	$5.3M
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…	95,150	$50	$4.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	33,260	$60	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	23,860	$90	$2.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	13,620	$90	$1.2M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	19,380	$50	$988.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	26,840	$30	$778.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	10,230	$70	$685.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8,860	$60	$549.6K
99204	The provider sees a new 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 provider…	7,470	$70	$493K

Showing 1–10 of 232

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Sanford Health Of Northern Minnesota — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

232 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	35	40	25,290	$200	$5.8M
H2014	Skills training and development, per 15 minutes	151	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	164	230	6,320	$120	$2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	18	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	47	220	1,730	$120	$1.3M
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…	49	120	400	$60	$685.8K
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…	19	50	310	$130	$678K
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…	12	1,180	1,150	$80	$605.7K
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…	5	1,200	1,030	$70	$549.7K

Showing 1–10 of 232

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Health Of Northern Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Medical Center Fargo	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

Nearby Providers

Other providers in the same ZIP code as Sanford Health Of Northern Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem North Star, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$132.7M
White Earth Band Of Ojibwe	MN	Community/Behavioral Health Agency	$0	$32.6M
Mississippi Headwaters Area Dental Health Center, Inc.	MN	Public Health Dentistry	$0	$11.8M
Independent School District #31	MN	Local Education Agency (LEA)	$0	$8.8M
Gph Beltrami Inc	MN	Assisted Living Facility	$0	$8.1M
Bemidji Ambulance Service, Inc.	MN	Land Ambulance	$995.8K	$6.4M
Choice Therapy, P.A.	MN	Rehabilitation Clinic/Center	$0	$6.2M
Stellher Human Services, Inc.	MN	Community/Behavioral Health Agency	$0	$5.4M
County Of Beltrami	MN	State or Local Public Health Clinic/Center	$0	$5.1M
Northern Minnesota Addiction Wellness Center	MN	Substance Abuse Rehabilitation Facility	$0	$4.5M

Sanford Health Of Northern Minnesota — 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