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.

Fraser, Ltd (NPI 1912506809)

Field	Value
Entity Type	Organization
Organization	Fraser, Ltd
Address	4311 9th Avenue Cir S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 21, 2020

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

FRASER, LTD is registered as a Community/Behavioral Health Agency in FARGO, ND with an NPI enumerated 2020-10-21 (~6 years ago). Its lifetime billing profile shows no Medicare revenue on file and $7.4M in Medicaid revenue, making it effectively a Medicaid-focused provider in the available data set.

Revenue is highly concentrated: the top three Medicaid codes (W0725, T2016, W0230) account for 100.0% of the provider's reported Medicaid revenue. Those three codes break down to $3.8M (W0725, 51.2%), $3.4M (T2016, 45.9%), and $210.6K (W0230, 2.9%), indicating nearly all Medicaid dollars flow through a very small code set.

The code mix points to residential/habilitation-style services as the operational focus. T2016 is labeled as Habilitation, residential, waiver; per diem and contributes $3.4M of Medicaid revenue, while W0725 and W0230 (no description available) both have very large avg paid/claim amounts ($5944 and $5014 respectively), which is consistent with per-diem or high-dollar residential/service-day payments typical for community behavioral health operations.

Despite the large share of this provider's revenue coming from T2016 and W0725, its statewide competitive standing is modest. W0725 ranks #19 of 25 (25th percentile; typical, unremarkable volume) and T2016 ranks #29 of 29 (0th percentile; typical, unremarkable volume), which means FRASER, LTD is not a dominant payer in-state for these billed services even though they drive the provider's internal revenue mix.

Operational profile shows a reliance on high-dollar, relatively low-frequency claims: W0725 (636 claims, $5944 avg paid/claim), T2016 (672 claims, $5038 avg paid/claim), and W0230 (42 claims, $5014 avg paid/claim). The combination of modest claim counts with high average payments produces the $7.4M Medicaid total and creates concentration risk if reimbursement policy or utilization patterns change.

The provider’s dependence on three codes for 100.0% of Medicaid revenue raises sensitivity to coding changes, rate adjustments, or service definition updates for those specific codes. Analysts should note these are per-claim high-dollar payments rather than large volumes of low-dollar encounters, which has different implications for utilization management and audit prioritization.

Tenure is relatively recent at roughly six years since enumeration (2020-10-21), which may reflect a newer entrant or a recently restructured billing entity within the Medicaid market. Given the Medicaid-only footprint in the data, growth or strategic shifts would likely need to occur within Medicaid channels or by initiating Medicare billing to materially change payer mix.

Key data limitations for analysis include the absence of Medicare billing on file and the lack of public descriptions for codes W0725 and W0230. For clearer interpretation, analysts should cross-reference state Medicaid fee schedules and code definitions and review enrollment/service-location details to confirm whether these payments represent per-diem residential habilitation, waiver program placements, or another covered service type.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0725	N/A	640	$5,940	$3.8M
T2016	Habilitation, residential, waiver; per diem	670	$5,040	$3.4M
W0230	N/A	40	$5,010	$210.6K

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

Fraser, Ltd — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	29	30	21,220	$400	$14.1M
W0725	N/A	19	30	1,380	$2,520	$9.9M
W0230	N/A	3	10	90	$6,740	$613K

Nearby Providers

Other providers in the same ZIP code as Fraser, Ltd, 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

Fraser, Ltd — Billing Profile & Reimbursement Data

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Fraser, Ltd — 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

Nearby Providers

Frequently Asked Questions

References