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    OpenPayerNPI Medicare & MedicaidAdetola Haastrup
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    Adetola Haastrup — Billing Profile & Reimbursement Data

    NPI 1932174588 · Grand Forks, ND · Nephrology Physician

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    Adetola Haastrup is a nephrology physician provider located in Grand Forks, North Dakota. This profile covers 21 Medicare and 0 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 TypeIndividual
    OrganizationAdetola Haastrup
    Address1300 S Columbia Rd
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyNephrology Physician
    NPI EnumeratedFebruary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$257.5K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $257.5K and there is no Medicaid billing on file, indicating Medicaid does not contribute to this provider’s reported payer mix. The absence of any Medicaid CPT/HCPCS entries on record means analysis should focus on Medicare patterns alone.

    Revenue is highly concentrated in a small set of codes: the precomputed top three Medicare codes (99214, 90960, 99232) account for 70.6% of this provider’s total Medicare revenue. Individually, 99214 contributes $77.5K (30.1%), 90960 contributes $66.7K (25.9%), and 99232 contributes $37.6K (14.6%) to the $257.5K Medicare total.

    The code mix is characteristic of a nephrology practice focused on ESRD management plus substantial outpatient evaluation and management. High volume in ESRD monthly management codes (90960, 90961, 90962 and the dialysis-related 90935) alongside office visit codes such as 99214 and 99204 suggests the provider delivers ongoing dialysis/ESRD care and regular outpatient follow-up.

    99214 stands out as an extreme national outlier: the provider reports 1.1K claims and $77.5K revenue for 99214 and ranks #8834 of 479517 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). By contrast, 90960 (248 claims, $66.7K; rank #1596 of 6549, 75th percentile; typical, unremarkable volume for this code) and 99232 (616 claims, $37.6K; rank #10541 of 177383, 94th percentile; typical, unremarkable volume for this code) show respectable but not extreme national standing.

    Hospital-based E/M activity is a meaningful secondary stream: multiple inpatient/observation subsequent and initial visit codes (99231, 99232, 99233, 99222, 99223) appear in the top codes with combined material revenue (for example, 99232 alone is $37.6K). This pattern indicates the provider mixes outpatient ESRD/clinic work with inpatient hospital care rather than exclusively office‑based practice.

    Despite notable concentration in a few high-yield codes, the overall Medicare revenue pool is modest at $257.5K lifetime, which may reflect a focused specialty practice or partial/full‑time clinical role within a broader organization. The fact that top E/M and ESRD codes together dominate receipts suggests most revenue arises from direct patient management rather than ancillary testing.

    Ancillary lab and procedure codes appear at very low revenue levels relative to E/M and ESRD management: examples include 36415 ($528), 80069 ($352), and 85027 ($162). These small-dollar lab entries reinforce that the practice’s financial footprint is driven by clinical management codes rather than in‑office laboratory or procedural margins.

    The provider has a long tenure in the NPI registry (NPI enumerated 2006-02-17 (~20 years ago)), which supports interpreting the current billing profile as an established practice pattern rather than a short‑term anomaly. Given long tenure plus the extreme national outlier status on 99214, the billing profile likely reflects an enduring clinical focus on the kinds of visits captured by those high-volume codes.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,110$70$77.5K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…250$270$66.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…620$60$37.6K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…130$230$29K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$100$13.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…240$40$9.4K
    99204The provider sees a new 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 provider…80$100$7.8K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…20$160$3.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$90$3.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$140$2.9K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960710210$270$57.3K
    9096162080$220$21.5K
    90962101030$150$15.4K
    9923318929060$90$11.9K
    9921491,47090$60$10.4K
    992322656070$60$10K
    9922321933040$130$8.9K
    9921536548040$100$6.9K
    992131,0551,49080$50$5.8K
    90935172090$50$5.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altru Health SystemNDClinic/Center$0$29.7M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M
    Ijkg Opco LLCNJGeneral Acute Care Hospital$0$17.5M
    Mercy Hospital Of Devils LakeNDCritical Access Hospital$0$11.1M
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Max JohnsonNDRetina Specialist (Ophthalmology) Physician$2.8M$0
    Altru Health SystemNDRural Health Clinic/Center$0$1.5M
    Dwight FitchFLRadiation Oncology Physician$1.5M$0
    Altru Health SystemNDAmbulance$527.6K$490.7K
    P R Health CorporationNDRural Health Clinic/Center$0$1M

    Nearby Providers

    Other providers in the same ZIP code as Adetola Haastrup, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Valley Oral & Facial Surgery PCNDOral and Maxillofacial Surgery Clinic/Center$0$4.5M
    Rehabauthority, LLCNDMulti-Specialty Clinic/Center$0$3.5M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$3.2M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Adetola Haastrup — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota