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    OpenPayerNPI Medicare & MedicaidFargo Maple View LLC
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    Fargo Maple View LLC — Billing Profile & Reimbursement Data

    NPI 1922605310 · Fargo, ND · Alzheimer Center (Dementia Center)

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    Fargo Maple View LLC is a alzheimer center (dementia center) provider located in Fargo, North Dakota. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFargo Maple View LLC
    Address4552 36th Ave S
    CityFargo
    StateND
    ZIP58104
    TaxonomyAlzheimer Center (Dementia Center)
    NPI EnumeratedOctober 8, 2020

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

    Payer SourceTotal Paid
    Medicaid$4M
    Medicare$0

    Key Findings

    FARGO MAPLE VIEW LLC is effectively a Medicaid-only biller: there is no Medicare billing on file and total reported Medicaid revenue is $4M. This payer mix indicates the provider’s financial exposure and growth opportunities are concentrated in state Medicaid programs rather than Medicare reimbursements.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 codes account for 100.0% of the provider's total Medicaid revenue. In particular, T2031 accounts for $2.3M (57.8% of Medicaid revenue) and 00042 accounts for $1.7M (42.2% of Medicaid revenue), together representing the entirety of reported Medicaid revenue.

    The presence of T2031 (Assisted living; waiver, per diem) as the largest single revenue driver aligns with the provider’s Alzheimer Center (Dementia Center) taxonomy and suggests its operations are focused on assisted-living/waiver-supported residential care and per-diem service models. This code mix is consistent with a facility-oriented, long-term care service line rather than episodic clinical services.

    Code 00042, which has no description available in the supplied data, contributes $1.7M and 42.2% of Medicaid revenue; because the code drives a large share of income yet lacks a public description here, analysts should flag 00042 for further documentation or state-specific code lookup to understand exactly which service or bundled payment it represents. Its prominence means reimbursement policy or coding guidance changes for 00042 could materially affect the provider.

    Competitive standing for T2031 within the state is modest: the provider ranks #2 of 5 for T2031 (75th percentile; typical, unremarkable volume). That ranking indicates meaningful participation in assisted-living waiver billing but not statewide dominance for that code.

    For 00042 the provider ranks #1 of 6 in-state (100th percentile; typical, unremarkable volume), making it the top-billing entity among peers for this unspecified code. Even though the label is "typical, unremarkable volume," being the top-ranked biller means the provider is a leading in-state source of revenue for whatever service 00042 represents, which may confer local market influence for that line.

    The provider’s NPI was enumerated on 2020-10-08 (~6 years ago), indicating a relatively recent enrollment window compared with long-established institutions. This shorter tenure may limit the availability of long historical trend data and suggests analysts should emphasize recent-year comparisons when assessing performance.

    The extreme concentration—top 3 Medicaid codes = 100.0% of revenue—creates operational and reimbursement risk: changes to waiver per-diem rates for T2031 or to the billing rules for 00042 would likely have an outsized impact on total revenue. Payer negotiations, state policy shifts, or eligibility changes tied to these codes should be a focus for financial scenario planning and competitive monitoring.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2031Assisted living; waiver, per diem24,150$100$2.3M
    00042N/A590$2,860$1.7M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2031Assisted living; waiver, per diem2109,490$120$2.4M
    00042N/A110290$2,830$866.6K

    Nearby Providers

    Other providers in the same ZIP code as Fargo Maple View LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Therapy Partners, Inc.NDEarly Intervention Provider Agency$0$7M
    Marina GilcaNDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Beyond Boundaries Occupational Therapy, Inc.NDMulti-Specialty Clinic/Center$0$3.9M
    Max JohnsonNDRetina Specialist (Ophthalmology) Physician$2.8M$0
    St. Sophie's, LLCNDAdolescent and Children Mental Health Clinic/Center$0$2.7M
    Shangri-la Home CareNDHome Health Agency$0$2M
    Beyond Boundaries Speech Language Therapy, Inc.NDSpeech-Language Pathologist$0$2M
    About Smiles Dental, LLCNDDental Clinic/Center$0$1.7M
    Center For Pain Medicine Surgery Center LLCNDAmbulatory Surgical Clinic/Center$1.2M$0
    Davita Dakota Dialysis Center LLCNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.2M

    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
    Fargo Maple View LLC — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota