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.

Sanford Medical Center Fargo (NPI 1821154253)

Field	Value
Entity Type	Organization
Organization	Sanford Medical Center Fargo
Address	2801 University Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Key Findings

SANFORD MEDICAL CENTER FARGO reports no Medicare billing on file and $3.6M in lifetime Medicaid revenue, making its active payer footprint in this dataset effectively single-payer (Medicaid). The provider’s Medicaid billing is highly concentrated: the precomputed top three Medicaid codes account for 97.4% of total Medicaid revenue, indicating a narrow revenue base tied to a small set of ESRD-related services.

The dominant revenue driver is 90999 (dialysis services reported without a more specific code): 42.8K claims, $76 avg paid/claim, $3.3M revenue, which represents 91.6% of the provider’s Medicaid revenue. 90999 ranks #1 of 9 in-state and is described as notably above typical state volume, signaling that routine dialysis sessions are the core business line and the primary source of Medicaid receipts.

Ancillary ESRD services supporting dialysis and anemia management are the next material contributors: J0882 (darbepoetin alfa) shows 5.6K claims, $26 avg paid/claim, $146.1K revenue (4.1% of Medicaid revenue) and ranks #1 of 6 in-state, also described as notably above typical state volume. This pattern—large volume of dialysis sessions plus concentrated use of an ESA agent—aligns with an in-center dialysis operation that administers injectable anemia therapies.

Laboratory monitoring is present but much smaller in revenue share: 84295 (serum sodium test) has 3.7K claims, $16 avg paid/claim, $59K revenue (1.7% of Medicaid revenue) and is listed as #1 of 4 in-state with a 100th percentile ranking but characterized as typical, unremarkable volume. The presence of routine chemistries and other lab codes (e.g., ferritin 82728, PTH 83970) supports standard ESRD care pathways (electrolyte and iron/metabolic monitoring) but these do not materially drive revenue.

Several codes show high claim counts with little or no recorded Medicaid payment in this dataset, which likely reflects bundling or separate reimbursement rules rather than clinical absence. Notable examples include J1644 (heparin sodium) with 21.3K claims and $0 revenue, and multiple lab codes with $0 avg paid/claim (e.g., 84132, 84520), indicating items that are frequently reported alongside dialysis but did not generate discrete Medicaid payments in the available records.

From a competitive standing perspective within North Dakota, SANFORD MEDICAL CENTER FARGO is a statewide leader for the core dialysis and related injectable ESA codes: 90999 and J0882 both rank #1 in their respective peer groups and are described as notably above typical state volume. For other routine lab and medication codes the provider typically sits among peers (many codes rank in middle percentiles), so its leadership is concentrated specifically in dialysis session volume and associated ESA administration rather than across all ESRD-related billables.

The provider’s NPI was enumerated on 2006-12-29 (~20 years ago), indicating a long tenure in the market; combined with the concentrated Medicaid volume, this suggests an established dialysis operation that has persisted over time. That longevity, coupled with the narrow revenue concentration on dialysis session codes, implies operational scale in this specific service line rather than broad outpatient or procedural diversification.

Because Medicaid is the only payer with recorded revenue and one code (90999) represents the vast majority of payments, the provider’s revenue profile is exposed to changes in Medicaid reimbursement policy or coding/billing rules for dialysis sessions and ESA administration. Analysts should treat future reimbursement adjustments to 90999 or to injectable anemia agents as likely to have outsized impact on reported Medicaid revenue for this entity.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	42,830	$80	$3.3M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	5,620	$30	$146.1K
84295	The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood.	3,690	$20	$59K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	1,150	$20	$24.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	950	$30	$23.9K
J1270	Injection, doxercalciferol, 1 mcg	15,560	$1	$15.6K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	1,720	$10	$8.6K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	4,120	$1	$8.2K
84460	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…	3,320	$1	$3.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	590	$1	$1.8K

Showing 1–10 of 29

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

Sanford Medical Center Fargo — 4 of 21 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	1	10	10,020	$70	$1.2M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1	10	1,130	$20	$52.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	3	10	1,040	$40	$47.8K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	2	10	420	$100	$40.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	89	100	170	$20	$34.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	6	20	170	$20	$33K
84295	The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood.	1	10	1,750	$10	$15K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	2	10	510	$10	$14.9K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	4	20	320	$10	$14K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	3	20	120	$10	$9.9K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Medical Center Fargo, 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	Internal Medicine Physician	$0	$27.2M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Sanford Medical Center Fargo	ND	Home Health Agency	$0	$1M
Patrick Kelly	SD	Vascular Surgery Physician	$888.2K	$0
Jonathan Marshall	NY	Diagnostic Radiology Physician	$761.9K	$4.4K

Nearby Providers

Other providers in the same ZIP code as Sanford Medical Center Fargo, 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

Sanford Medical Center Fargo — 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