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.

Lance Doeden (NPI 1952659773)

Field	Value
Entity Type	Individual
Organization	Lance Doeden
Address	1720 University Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Pain Medicine Physician
NPI Enumerated	August 28, 2012

Payer Source	Total Paid
Medicare	$255.3K
Medicaid	$0

Key Findings

Practice profile and procedure mix point to a procedural interventional pain practice: the top Medicare revenue codes are 63650 ($79K, 31.0%), 64483 ($21K, 8.2%), and 62323 ($20.9K, 8.2%), and the broader code set includes spinal cord stimulation work (63685), transforaminal and epidural injections (64483, 64479), facet interventions and radiofrequency neurotomy (64493, 64494, 64635, 64636), and frequent use of imaging guidance (77002). This combination of device implantation, diagnostic/therapeutic spinal injections, and image-guided procedures is consistent with a Pain Medicine Physician focusing on interventional spine and neuromodulation services.

Revenue concentration is high: the precomputed top-three share shows that the top 3 Medicare codes account for 47.4% of this provider's total Medicare revenue, with a single code, 63650, representing 31.0% of Medicare revenue. That concentration indicates that a relatively small set of interventional procedures drives nearly half of the provider's Medicare receipts ($255.3K total Medicare revenue).

This provider is effectively single-payer from an operations and payer-mix perspective: total Medicare revenue is $255.3K and Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing on file suggests the provider’s Medicare caseload is the primary source of fee-for-service revenue and that Medicaid is not a material payer for this NPI.

Competitive standing on the signature neuromodulation code 63650 is mixed: the provider ranks #223 of 1371 nationally (84th percentile) yet the record characterizes volume as "typical, unremarkable volume for this code." In other words, while the provider sits above many peers on rank for 63650, the dataset’s plain-English label frames the activity as within expected norms rather than an outlier market dominance.

Most other high-revenue interventional codes also sit in middle-to-upper percentiles but are labeled as typical. For example, 64483 ranks #2370 of 8202 (71th percentile; typical, unremarkable volume for this code) and 62323 ranks #1756 of 7397 (76th percentile; typical, unremarkable volume for this code), which indicates steady, regionally competitive volumes across common spine injection services rather than exceptional national market share.

Office evaluation-and-management activity includes a notable outlier on new-patient visits: 99204 generated $18.7K from 157 claims and ranks #9475 of 227068 (96th percentile; notably above typical national volume). This suggests comparatively high numbers of moderate-complexity new outpatient visits relative to most peers, which may indicate a steady new-patient referral flow or concentrated intake efforts.

There is a pronounced billing anomaly in pharmacy-administered medication coding: J1100 shows 4K claims with $0 avg paid/claim and $0 revenue, yet ranks #563 of 23460 (98th percentile; notably above typical national volume). This combination of very high claim counts but $0 recorded Medicare revenue for dexamethasone injections stands out as an operational or reporting irregularity worth reviewing (e.g., bundling, pass-through reporting, or claims-submission practices) rather than a statement about clinical practice.

Provider tenure is established: the NPI was enumerated 2012-08-28 (~14 years ago), giving the provider a multi-year presence to build referral patterns and a procedural mix. That duration supports interpreting the observed code mix and revenue concentration as sustained practice characteristics rather than a short-term anomaly.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	80	$940	$79K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	110	$190	$21K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	100	$200	$20.9K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	60	$350	$19.7K
99204	The 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…	160	$120	$18.7K
99214	The 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…	150	$90	$12.8K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	60	$190	$12K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	80	$150	$11.2K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	50	$190	$9.7K
77002	The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…	90	$90	$8.6K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Lance Doeden — 3 of 21 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. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	10	20	$7,780	$140K
63650	1	10	50	$1,470	$79.3K
62323	15	20	160	$110	$22.3K
64635	3	10	40	$330	$12.8K
99214	509	1,470	90	$60	$10.4K
64483	3	10	40	$140	$9K
64493	5	10	60	$140	$7.8K
62321	8	10	50	$130	$7.5K
99213	427	1,490	80	$50	$5.8K
27096	5	20	60	$80	$5.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M
Rapid City Medical Center, LLP	SD	Multi-Specialty Clinic/Center	$0	$4.5M
Richard White	AR	Hematology & Oncology Physician	$2.2M	$0
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$2M
Jennifer May	SD	Internal Medicine Physician	$1.9M	$0
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.8M
Monument Health Rapid City Hospital, Inc.	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Luke Hushagen	SD	Internal Medicine Physician	$1.4M	$0

Nearby Providers

Other providers in the same ZIP code as Lance Doeden, 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

Lance Doeden — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References