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.

Innovis Health, LLC. (NPI 1790965440)

Innovis Health, LLC. is a family medicine physician provider located in Wahpeton, North Dakota. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Innovis Health, LLC.
Address	275 11th St S
City	Wahpeton
State	ND
ZIP	58075
Taxonomy	Family Medicine Physician
NPI Enumerated	November 10, 2007

Payer Source	Total Paid
Medicaid	$464.9K
Medicare	$0

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

25 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…	3,400	$80	$285.7K
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…	2,300	$60	$126.6K
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…	250	$80	$20.2K
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…	80	$120	$9.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	140	$30	$3.7K
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…	50	$70	$3.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,060	$1	$3.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	130	$20	$2.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	$50	$1.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	$70	$1.8K

Showing 1–10 of 25

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

Innovis Health, LLC. — 0 of 24 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

25 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…	44	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…	22	170	300	$100	$415.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14	10	640	$80	$184.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	20	230	$80	$151.9K
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…	69	80	400	$80	$133.6K
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…	82	140	390	$110	$129.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5	10	80	$30	$116.3K
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…	29	40	190	$110	$99K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	19	30	360	$30	$94.6K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	99	110	700	$40	$64.2K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
Innovis Health LLC	ND	Family Medicine Physician	$0	$4.5M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Red River Human Services Foundation	ND	Community/Behavioral Health Agency	$0	$34.5M
Wahpeton Public School District	ND	Local Education Agency (LEA)	$0	$1.3M
Healing Arts Chiropractic, PC	ND	Chiropractor	$0	$246.4K
Duane Strand	ND	Internal Medicine Physician	$180.3K	$0
Patrick Emery	ND	Family Medicine Physician	$76.5K	$0
Brian Cooper	ND	Physician Assistant	$72.5K	$0
Timothy Nyarandi	ND	Family Medicine Physician	$65.3K	$0
Hornstein Family Chiropractic, Ltd	ND	Chiropractor	$0	$64.6K
Cheri Berge	ND	Family Nurse Practitioner	$56.7K	$0
Bonita Jenzen	ND	Family Nurse Practitioner	$53.7K	$0

Innovis Health, LLC. — Billing Profile & Reimbursement Data

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Innovis Health, LLC. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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