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.

Mercy Medical Center (NPI 1902824576)

Field	Value
Entity Type	Organization
Organization	Mercy Medical Center
Address	1301 15th Ave W
City	Williston
State	ND
ZIP	58801
Taxonomy	Critical Access Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Key Findings

This provider is effectively single-payer in the claims data: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid ($4M). That concentration on one payer means reimbursement exposure and growth opportunities will be driven entirely by Medicaid policy and patient-volume trends rather than Medicare dynamics. The NPI was enumerated 2006-07-18 (~20 years ago), so this is an established billing entity in the market.

Revenue is highly concentrated in a narrow set of ED evaluation-and-management codes: the precomputed top-3 codes account for 78.4% of total Medicaid revenue, with 99283 generating $1.5M (8.4K claims, $175 avg paid/claim; 37.7% of Medicaid revenue), 99284 generating $1.3M (4.5K claims, $277 avg paid/claim; 32.2%), and 99285 generating $332.2K (590 claims, $563 avg paid/claim; 8.5%). This concentration indicates that a large majority of Medicaid dollars flow from emergency department encounters rather than diversified inpatient or outpatient procedure lines.

The code mix and volumes point to an ED-centric Critical Access Hospital operation: high-volume, lower-acuity ED visits (99283 and 99284) dominate by count and dollars, while higher-acuity visits (99285) are far fewer but carry a higher average payment. Ancillary codes commonly associated with ED care — IV administration codes (96374, 96361, 96375), basic labs (80053, 85025, 36415), and chest/CT imaging (71045, 70450) — appear throughout the top billing list, reinforcing that the facility’s primary service line is emergency care plus on-site diagnostics.

Competitive standing for the revenue-driving ED codes is modest rather than dominant statewide: 99283 ranks #12 of 48 providers (77th percentile; characterized in the data as typical, unremarkable volume), 99284 ranks #15 of 33 (56th percentile; typical), and 99285 ranks #12 of 19 (39th percentile; typical). In other words, even though these codes constitute the bulk of this provider’s Medicaid revenue, the facility appears to be a middle-tier participant in those code lines compared with in-state peers rather than a clear market leader.

Laboratory and point-of-care testing are relative strengths on a per-code basis: 36415 (venipuncture) shows 11.5K claims and ranks #13 of 91 providers (87th percentile), 87804 (influenza rapid immunoassay) ranks #3 of 25 (92th percentile), and 87635 (SARS–COV–2 NAAT) ranks #2 of 19 (94th percentile). These high percentiles for common ED lab tests indicate the facility processes a sizeable volume of diagnostic testing per Medicaid claim mix, consistent with an ED and outpatient diagnostic workflow.

Observation and advanced imaging activity is limited compared with peers: G0378 (hospital observation service, per hour) is only 63 claims with $138.3K revenue and ranks #6 of 7 providers (17th percentile), 70450 (CT head without contrast) ranks #18 of 21 (15th percentile), and 74177 (CT abdomen/pelvis with contrast) ranks #18 of 19 (6th percentile). That pattern suggests constrained observation-bed or CT throughput relative to other in-state hospitals, which may limit ability to bill higher-acuity inpatient or observation revenue streams.

The provider’s revenue profile shows a classic rural critical-access footprint: long tenure since NPI enumeration (2006-07-18, ~20 years), Critical Access Hospital taxonomy, and a Medicaid-driven business that is operationally focused on emergency care and high-volume point-of-care diagnostics. Given the $4M in Medicaid revenue and lack of Medicare billing, strategic or contract changes with Medicaid plans will have outsized impact on the facility’s financials.

There is a notable per-claim-payment skew within the ED mix: 99285 yields a substantially higher average paid/claim ($563) despite only 590 claims, whereas 99283 has many more claims (8.4K) at a lower average ($175). This means marginal changes in higher-acuity case mix or documentation that shifts visits toward 99285 could materially affect revenue even if total ED visit counts remain stable.

Medicaid: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,400	$180	$1.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	4,540	$280	$1.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	590	$560	$332.2K
G0378	Hospital observation service, per hour	60	$2,200	$138.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	6,880	$10	$89.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	7,560	$10	$60.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	490	$120	$58.8K
0241U	N/A	490	$120	$57.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	650	$90	$55.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	660	$70	$45.3K

Showing 1–10 of 75

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

Mercy Medical Center — 0 of 25 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	10	4,940	$60	$2.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12	20	1,120	$220	$2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15	30	1,280	$180	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	12	50	670	$150	$829.9K
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…	149	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…	114	170	300	$100	$415.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	14	30	450	$110	$198.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10	10	1,400	$50	$172.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	18	20	230	$90	$153.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	5	10	630	$150	$148.3K

Showing 1–10 of 75

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Mercy Medical Center	ND	Emergency Medicine Physician	$0	$555.2K
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Aaron Gould	IL	Diagnostic Radiology Physician	$126.2K	$209.3K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Jaclyn Andrick	IA	Diagnostic Radiology Physician	$249.7K	$0
Michael Rogan	MN	Diagnostic Radiology Physician	$245K	$0
David Hollander	CO	Diagnostic Radiology Physician	$237K	$0
Brent King	MN	Diagnostic Radiology Physician	$197.8K	$0
Andrew Malin	IN	Orthopaedic Surgery Physician	$183.4K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Medical Center, 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
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
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
The Fred And Clara Eckert Foundation For Children	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$447.4K

Mercy Medical Center — 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