Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanford Medical Center Fargo
    Ask Trek AI about this page

    Sanford Medical Center Fargo — Billing Profile & Reimbursement Data

    NPI 1891861761 · Fargo, ND · Home Health Agency

    Customize your policy alerts

    Sign up for Sanford Medical Center Fargo — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sanford Medical Center Fargo is a home health agency provider located in Fargo, North Dakota. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSanford Medical Center Fargo
    Address3223 32nd Ave S
    CityFargo
    StateND
    ZIP58103
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes15,800$20$379.1K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes930$400$371.1K
    T1030Nursing care, in the home, by registered nurse, per diem4,900$60$293.9K
    S5161Emergency response system; service fee, per month (excludes installation and testing)340$10$3.8K

    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.

    Full comparison — all codes billed, vs. North Dakota median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5130Homemaker service, nos; per 15 minutes1108,910$30$259.2K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes310930$140$148.4K
    T1030Nursing care, in the home, by registered nurse, per diem210830$60$145.3K
    S5161Emergency response system; service fee, per month (excludes installation and testing)210340$30$46.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sanford Medical Center Fargo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Sanford Medical Center FargoNDAir Ambulance$0$12M
    Sanford Medical Center FargoNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.6M
    Max JohnsonNDRetina Specialist (Ophthalmology) Physician$2.8M$0
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    Patrick KellySDVascular Surgery Physician$888.2K$0
    Jonathan MarshallNYDiagnostic 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Living Services, IncNDCommunity/Behavioral Health Agency$0$104.6M
    Villa NazarethNDCommunity/Behavioral Health Agency$0$84.2M
    Psj Acquisition LLCNDPsychiatric Hospital$0$32.3M
    Vocational Training Center, Inc.NDCommunity/Behavioral Health Agency$0$28.5M
    Fm Ambulance Service, IncNDLand Ambulance$2M$23.8M
    Innovis Health, LLCNDGeneral Acute Care Hospital$0$25.5M
    Fraser, Ltd.NDCommunity/Behavioral Health Agency$0$13.9M
    Community Medical Services Montana Private LLCNDMethadone Clinic$214.7K$8.9M
    Southeast Behavioral Health ClinicNDSubstance Use Disorder Rehabilitation Clinic/Center$0$8.8M
    Village Family Service CenterNDMental Health Clinic/Center (Including Community Mental Health Center)$0$8.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Sanford Medical Center Fargo — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota