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.

Sanford Medical Center Fargo (NPI 1942415468)

Field	Value
Entity Type	Organization
Organization	Sanford Medical Center Fargo
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Air Ambulance
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Key Findings

SANFORD MEDICAL CENTER FARGO reports no Medicare billing on file and $12M in lifetime Medicaid revenue, making its billed activity effectively single-payer (Medicaid)-dominated rather than split between Medicare and Medicaid. The absence of Medicare entries means analysts should treat the entity as primarily a Medicaid-funded air ambulance operator in comparative work.

Revenue is highly concentrated in air-transport services: the precomputed top 3 Medicaid codes (A0431, A0430, A0436) account for 83.0% of this provider's total Medicaid revenue. Individually these codes generate $4.3M (35.9%), $2.9M (24.0%), and $2.8M (23.1%) respectively, indicating that a small set of transport and mileage codes drives most Medicaid receipts.

The provider’s taxonomy (Air Ambulance) and the top code mix confirm core operations focus on both rotary- and fixed-wing transports plus distance-based billing: A0431 (ambulance service, rotary wing transport) shows 1.4K claims at $3018 avg paid/claim for $4.3M revenue, and A0430 (fixed wing transport) shows 1.4K claims at $2040 avg paid/claim for $2.9M revenue. High avg paid/claim figures for A0431, A0430, and A0436 ($3018, $2040, $1941 respectively) are consistent with high-cost, point-to-point air transport services rather than routine outpatient care.

State-level competitive standing is mixed by code: for fixed-wing items the provider ranks #1 of 3 providers in-state for A0430 and A0435 and sits at the 100th percentile with a characterization of "typical, unremarkable volume," suggesting it is a leading fixed-wing billing entity but its volumes are comparable to the limited peer set. For rotary-wing items A0431 and A0436 the provider ranks #1 of 1 in-state with "no state peer volume comparison available," indicating it may be the only in-state reporter for those rotary-wing codes or that peer reporting is not present for benchmarking.

Operational scale by claim count is consistent across major transport line items: each of the primary transport and mileage codes reports 1.4K claims, implying a sustained and repeatable operational tempo for both one-way transports and mileage billing. The repeated 1.4K claim counts across A0431, A0430, A0436, and A0435 suggests bundled service delivery where transports are routinely paired with per-mile charges.

Non-transport outpatient billing is negligible relative to transport revenue: G0463 (hospital outpatient clinic visit) registers just 43 claims at $19 avg paid/claim for $817 revenue, representing 0.0% of Medicaid revenue. This supports the interpretation that clinic-level services are not a meaningful revenue stream for this provider compared with air-transport operations.

The provider has a long-established billing record, with its NPI enumerated on 2007-05-10 (~19 years ago), which aligns with a mature air ambulance service likely to have established contracts and operational processes for Medicaid billing. Longevity combined with concentrated transport revenue suggests stability in the core service line but also highlights dependence on a narrow set of codes.

Because top-3 codes account for 83.0% of Medicaid revenue and there is no Medicare revenue, the provider’s financial exposure is heavily concentrated in a few air-transport service lines and a single payer. Analysts should consider this concentration when assessing revenue volatility, payer negotiation leverage, and the business impact of any changes to Medicaid air-ambulance reimbursement rules.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1,430	$3,020	$4.3M
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	1,410	$2,040	$2.9M
A0436	Rotary wing air mileage, per statute mile	1,430	$1,940	$2.8M
A0435	Fixed wing air mileage, per statute mile	1,430	$1,430	$2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	40	$20	$820

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

Sanford Medical Center Fargo — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1	10	1,430	$3,020	$4.3M
A0436	Rotary wing air mileage, per statute mile	1	10	1,430	$1,940	$2.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	10	4,940	$60	$2.3M
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	1	10	140	$2,040	$1.1M
A0435	Fixed wing air mileage, per statute mile	1	10	140	$1,400	$738.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Medical Center Fargo	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Sanford Medical Center Fargo	ND	Home Health Agency	$0	$1M

Nearby Providers

Other providers in the same ZIP code as Sanford Medical Center Fargo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K
Positive Psychological Initiatives LLC	ND	Psychologist	$0	$392.6K

Sanford Medical Center Fargo — Billing Profile & Reimbursement Data

Sign up for Sanford Medical Center Fargo — Billing Profile & Reimbursement Data policy alerts

Sanford Medical Center Fargo — Billing Profile & Reimbursement Data

Sign up for Sanford Medical Center Fargo — Billing Profile & Reimbursement Data policy alerts

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