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.

University North Dakota (NPI 1922067305)

Field	Value
Entity Type	Organization
Organization	University North Dakota
Address	Mccannel Hall Room 100
City	Grand Forks
State	ND
ZIP	58202
Taxonomy	Student Health Clinic/Center
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$13.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	260	$20	$4.9K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	200	$20	$4K
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…	10	$70	$940
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	60	$10	$880
0012A	N/A	20	$30	$640
0031A	N/A	10	$40	$520
0011A	N/A	20	$20	$390
0002A	N/A	10	$30	$350
90656	This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.	20	$20	$270
0001A	N/A	10	$20	$200

Showing 1–10 of 13

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

University North Dakota — 0 of 10 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

13 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…	194	210	360	$100	$498.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	40	100	170	$20	$34.7K
0002A	N/A	24	30	60	$30	$7.1K
0001A	N/A	28	30	50	$20	$5.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	26	70	100	$1	$3K
0012A	N/A	13	20	40	$30	$2.4K
0031A	N/A	9	10	50	$30	$1.9K
0011A	N/A	13	20	40	$20	$1.7K
90656	This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.	31	40	50	$1	$650
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	3	10	70	$10	$440

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Dakota	ND	Family Medicine Physician	$0	$1.4M
University Of North Dakota	ND	Family Medicine Physician	$0	$523.3K
Patrick Evans	ND	Family Medicine Physician	$81.4K	$0
Jeffrey Hostetter	ND	Family Medicine Physician	$69.9K	$0
Chittaranjan Routray	ND	Hospitalist Physician	$69.2K	$0
David Field	ND	Family Medicine Physician	$66.3K	$0
Vishal Chhibber	ND	Family Medicine Physician	$59.8K	$0
Paul Olson	ND	Emergency Medicine Physician	$53.9K	$0
Christopher Irmen	ND	Family Medicine Physician	$53.2K	$0
Wade Talley	ND	Emergency Medicine Physician	$50.1K	$0

University North Dakota — Billing Profile & Reimbursement Data

Sign up for University North Dakota — Billing Profile & Reimbursement Data policy alerts

University North Dakota — Billing Profile & Reimbursement Data

Sign up for University North Dakota — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References