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.

Trinity Health (NPI 1841526332)

Field	Value
Entity Type	Organization
Organization	Trinity Health
Address	1321 W Dakota Pkwy
City	Williston
State	ND
ZIP	58801
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 19, 2009

Payer Source	Total Paid
Medicare	$397.2K
Medicaid	$0

Key Findings

TRINITY HEALTH in WILLISTON (Ambulatory Surgical Clinic/Center) has a surgical practice profile dominated by ophthalmic procedures: the top billed Medicare codes are 66984, 66991, and 66982, all cataract/IOL-related procedures, and the presence of 15823 indicates some upper-eyelid/oculoplastic work alongside cataract surgery. This code mix is consistent with an outpatient surgery center focused on routine and some complex anterior-segment eye surgery rather than broad multispecialty surgical services.

Revenue is highly concentrated in a small set of cataract codes: the precomputed top 3 Medicare codes account for 94.6% of total Medicare revenue, with 66984 representing 69.1% of Medicare revenue ($274.2K), 66991 representing 17.4% ($68.9K), and 66982 representing 8.2% ($32.5K). That concentration indicates the facility’s financial performance is closely tied to cataract case volume and reimbursement for those specific procedures.

Medicare is effectively the only payer in the dataset: total Medicare revenue is $397.2K and there is none reported for Medicaid (no Medicaid billing on file). This provider therefore functions as a nearly single-payer Medicare practice in the available claims data, which has implications for patient mix and payer negotiation leverage.

Volume and payment mix show a high-volume, lower-unit-payment primary procedure alongside lower-volume, higher-unit-payment complex procedures: 66984 had 357 claims at $768 avg paid/claim, while 66991 had only 30 claims but a $2298 avg paid/claim, and 66982 had 42 claims at $773 avg paid/claim. That pattern is typical for cataract centers that perform many routine phaco/IOL insertions and a smaller number of combined or complex anterior-segment interventions.

National competitive standing is modest to solid but not dominant: 66984 ranks #3604 of 15965 nationally (77th percentile; typical, unremarkable volume for this code), 66982 ranks #1338 of 4580 (70th percentile; typical, unremarkable volume for this code), and 66991 ranks #704 of 1445 (49th percentile; typical, unremarkable volume for this code). These percentiles indicate the provider has a stronger-than-average presence on routine cataract cases while remaining a modest national participant overall.

The presence of 15823 (47 claims, $457 avg paid/claim, $21.5K revenue, 5.4% of Medicare revenue) shows a nontrivial oculoplastic component to the practice; 15823 ranks #643 of 1718 nationally (62th percentile; typical, unremarkable volume for this code), suggesting ancillary eyelid procedures contribute meaningfully but do not diversify the revenue base away from cataract work.

The provider’s NPI tenure (enumerated 2009-10-19 (~17 years ago)) points to an established operation with long-standing enrollment in federal programs, which supports the observed sustained cataract case volumes rather than a short-term or newly opened facility.

While none of the listed codes are labeled statistical outliers—each is described as typical/unremarkable in volume—the extreme revenue concentration (94.6% in the top three Medicare codes) creates exposure: fluctuations in cataract case volume, reimbursement, or referral patterns could materially affect overall revenue given the limited Medicaid participation and narrow service concentration.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	360	$770	$274.2K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$2,300	$68.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$770	$32.5K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	50	$460	$21.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Trinity Health — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	16	100	50	$350	$61.2K
66991	9	10	30	$1,320	$50.1K
66982	9	20	40	$590	$29.4K
15823	4	10	30	$480	$27.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Trinity Health	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$873.2K
Chad Wolsky	ND	Ophthalmology Physician	$504K	$0
Gregory Arov	FL	Diagnostic Radiology Physician	$452.4K	$0
Andrew Wilder	ND	Diagnostic Radiology Physician	$431.4K	$0
Robert Jones	MS	Radiation Oncology Physician	$295.5K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Thomas Haldis	ND	Interventional Cardiology Physician	$264.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunity Foundation Inc	ND	Developmentally Disabled Services Day Training Agency	$0	$26.3M
Medscan Laboratory Inc	ND	Clinical Medical Laboratory	$7.2M	$14.8M
Mercy Medical Center	ND	Critical Access Hospital	$0	$4M
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Summit Counseling Inc	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Northwest Behavioral Health Clinic	ND	Adult Mental Health Clinic/Center	$0	$872.7K
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K
Ideal Option, PLLC	ND	Clinic/Center	$0	$690.9K

Trinity Health — Billing Profile & Reimbursement Data

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Trinity Health — 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