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.

Nexus-path Family Healing (NPI 1811109812)

Field	Value
Entity Type	Organization
Organization	Nexus-path Family Healing
Address	1202 Westrac Dr S Ste 400
City	Fargo
State	ND
ZIP	58103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Key Findings

NEXUS-PATH FAMILY HEALING reports no Medicare billing on file and $4M in lifetime Medicaid revenue, making its operations effectively single-payer in the datasets provided; all analysis below therefore focuses on Medicaid activity rather than any Medicare mix. The provider has been enumerated since 2007-05-04 (~19 years), indicating a long-standing presence in the market that aligns with established community behavioral health agencies.

Medicaid revenue is highly concentrated in just three codes: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, indicating a narrow service mix focused on specific outpatient and case-management services rather than a broad array of billable procedures. This concentration suggests the organization’s business model centers on targeted case management and community psychiatric support.

T1017 (Targeted case management, each 15 minutes) is the dominant revenue driver with $3.4M in revenue and 36.5K claims at an average paid per claim of $94, representing 85.7% of the provider’s Medicaid revenue. The provider ranks #1 of 16 in-state for T1017 and is described as an extreme outlier, which signals that this organization is a primary regional provider of targeted case management services and likely operates at a much higher volume for this service than typical state peers.

H0037 (Community psychiatric supportive treatment program, per diem) is the second-largest contributor at $541.7K (13.5% of Medicaid revenue) across 342 claims with an average paid per claim of $1584. NEXUS-PATH FAMILY HEALING ranks #1 of 1 in-state for H0037, meaning it is the only reporting provider in the state for that code in this dataset; this positions the provider as the sole documented Medicaid biller for this per-diem program in the available peer universe.

T1016 (Case management, each 15 minutes) contributes $31.7K (0.8% of Medicaid revenue) across 1.4K claims at an average paid per claim of $23, and the provider ranks #10 of 18 in-state (47th percentile). This mid-pack ranking indicates typical, unremarkable volume for standard case management compared with state peers, suggesting the provider’s exceptional scale is focused specifically on targeted case management (T1017) rather than general case management activity.

From a competitive-standing perspective within the state, NEXUS-PATH FAMILY HEALING is a dominant provider for its top codes: it is the top-ranked provider for both T1017 and H0037, with the former being an extreme outlier in volume and the latter the sole reporter. That combination implies market leadership in the delivery of targeted case management and in offering community psychiatric supportive treatment under Medicaid in its state peer set.

The payer mix is effectively single-payer centered on Medicaid given the absence of Medicare revenue; strategic or operational conclusions should therefore be framed around Medicaid program rules, contracts, and utilization management. Any growth, risk, or policy exposure for this provider will largely be driven by changes to Medicaid reimbursement or utilization patterns for T1017 and H0037.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	36,450	$90	$3.4M
H0037	Community psychiatric supportive treatment program, per diem	340	$1,580	$541.7K
T1016	Case management, each 15 minutes	1,380	$20	$31.7K

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

Nexus-path Family Healing — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0037	Community psychiatric supportive treatment program, per diem	1	10	340	$1,580	$541.8K
T1017	Targeted case management, each 15 minutes	1	20	540	$70	$255.3K
T1016	Case management, each 15 minutes	10	20	1,390	$100	$242.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nexus-path Family Healing, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nexus-path Family Healing	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2M

Nearby Providers

Other providers in the same ZIP code as Nexus-path Family Healing, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M

Nexus-path Family Healing — Billing Profile & Reimbursement Data

Sign up for Nexus-path Family Healing — Billing Profile & Reimbursement Data policy alerts

Nexus-path Family Healing — 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