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.

Eric Belanger (NPI 1801972161)

Field	Value
Entity Type	Individual
Organization	Eric Belanger
Address	900 E Broadway Ave
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Neurological Surgery Physician
NPI Enumerated	October 30, 2006

Payer Source	Total Paid
Medicare	$364K
Medicaid	$0

Key Findings

ERIC BELANGER’s Medicare billing is heavily concentrated in complex spine surgery and instrumentation: the top CPTs are lumbar and cervical fusion, laminectomy/foraminotomy, and spinal instrumentation/interbody procedures (examples include 22633, 63047, 22842, 22853 and 63048). The mix of high-revenue surgical CPTs and add-on fusion/interbody codes indicates a practice focused on operative spine care rather than predominantly outpatient medical management.

Revenue concentration is high: total Medicare revenue is $364K and the precomputed top-3 Medicare codes account for 42.0% of that Medicare revenue. In particular, 22633 accounts for $75K (20.6%), 63047 accounts for $45K (12.4%), and 22842 accounts for $32.7K (9.0%), showing a small set of procedures drives a large share of Medicare dollars.

Payer mix is effectively single-payer: Medicare activity is recorded at $364K while Medicaid billing is listed as none, so this provider has no Medicaid billing on file. That single-payer profile implies limited or no participation in state Medicaid volume and contracting inferences should treat this as a Medicare-driven practice.

Competitive standing for key spine procedures is strong nationally: 22633 ranks #43 of 1677 providers nationally (97th percentile; notably above typical national volume for this code), 63047 ranks #177 of 4170 providers nationally (96th percentile; notably above typical national volume for this code), and 22842 ranks #39 of 2689 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). These ranks indicate ERIC BELANGER performs these procedures at volumes well above most peers.

Multiple additional CPTs underline unusually high procedural volume across the surgical suite: 22853 (137 claims) ranks in the 98th percentile, 63048 (126 claims) ranks #49 of 2818 providers nationally (98th percentile; extreme outlier), and 63052 ranks #32 of 1335 providers nationally (98th percentile; notably above typical national volume for this code). The repeated high-percentile positions across instrumentation, interbody, and multi-level decompression add weight to the characterization of a high-volume operative spine practice.

Despite surgical concentration, the provider also reports nontrivial evaluation-and-management activity: 99204 (167 claims, $15.2K, 4.2% of Medicare revenue) ranks #8036 of 227068 providers nationally (96th percentile; notably above typical national volume for this code), and other new/established patient E/M codes (99203, 99205, 99214, 99215) appear across the top-25 but contribute smaller revenue shares. This pattern suggests clinic-based new-patient evaluations feed a higher-revenue surgical pipeline rather than representing the primary revenue driver.

Tenure and practice stability: the NPI was enumerated on 2006-10-30 (~20 years ago), indicating a long-enumerated provider profile. Combined with the concentrated, high-volume surgical billing pattern, the tenure is consistent with an established spine surgical practice likely supported by a sustained referral network.

Operational and business implications: given that a handful of high-reimbursement spine procedures drive a large share of Medicare revenue (top 3 = 42.0%) and several CPTs are national high-percentile outliers, the provider is positioned as a high-volume spine surgeon for these procedures. At the same time, the absence of Medicaid billing (none) means revenue and access are concentrated in Medicare and commercial channels, which could influence contracting strategy, case-mix risk exposure, and downstream revenue sensitivity to surgical case volumes.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	60	$1,340	$75K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	60	$760	$45K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	60	$560	$32.7K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	140	$190	$25.9K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	20	$1,270	$25.3K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	90	$290	$24.2K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	130	$160	$19.5K
22634	In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The…	50	$360	$16.4K
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…	170	$90	$15.2K
22600	The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse…	10	$950	$13.3K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Eric Belanger — 3 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22633	3	10	30	$830	$31.4K
63047	3	10	20	$570	$21.2K
22551	3	10	20	$840	$19.3K
22614	1	10	70	$180	$11.5K
22842	2	10	10	$340	$10.9K
63048	1	10	120	$90	$10.8K
99214	823	1,470	90	$60	$10.4K
22853	3	10	50	$120	$8.5K
22634	1	10	40	$210	$8.1K
22600	1	10	10	$540	$7.5K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eric Belanger, 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 Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
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

Nearby Providers

Other providers in the same ZIP code as Eric Belanger, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Eric Belanger — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References