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.

D & L PC (NPI 1871684530)

Field	Value
Entity Type	Organization
Organization	D & L PC
Address	1316 23rd St S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Psychiatric/Mental Health Clinical Nurse Specialist
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$409.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	2,450	$90	$220.8K
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…	680	$120	$81K
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…	360	$140	$50.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	950	$50	$49.2K
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…	60	$70	$3.7K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	360	$10	$3.6K

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

D & L PC — 0 of 6 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

6 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…	159	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…	31	170	300	$100	$415.8K
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…	44	140	390	$110	$129.2K
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…	15	40	190	$110	$99K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	5	20	70	$60	$42.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	21	40	410	$10	$22.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with D & L PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linda Volness	ND	Psychiatric/Mental Health Clinical Nurse Specialist	$14.8K	$0
Jessica Graham Steinhauer	ND	Psychiatric/Mental Health Nurse Practitioner	$11.5K	$0

Nearby Providers

Other providers in the same ZIP code as D & L PC, 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

D & L PC — Billing Profile & Reimbursement Data

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D & L PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References