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.

Troy Pierce (NPI 1972521870)

Field	Value
Entity Type	Individual
Organization	Troy Pierce
Address	310 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$282K
Medicaid	$0

Key Findings

Practice appears focused on operative shoulder and upper-extremity care: the provider’s top revenue codes are shoulder arthroplasty and arthroscopic shoulder repairs (23472 and 29827) alongside hand/wrist procedures such as carpal tunnel release (64721) and intercarpal/carpometacarpal arthroplasty (25447), which together signal a surgical orthopaedic practice oriented to both shoulder and hand surgery rather than a primary-care or general orthopaedics panel. The presence of numerous injection codes and in-office imaging further supports an integrated outpatient surgical clinic model serving postoperative and nonoperative shoulder/hand conditions.

Revenue concentration is meaningful at Medicare: the precomputed top 3 Medicare codes by revenue account for 37.2% of this provider’s total Medicare revenue, with 23472 contributing 15.5%, 29827 contributing 13.3%, and 99213 contributing 8.3%. This concentration indicates that a small set of operative and office-visit codes drives more than one-third of the provider’s Medicare receipts.

This provider is effectively single-payer at the claim level: Total Medicare revenue is $282K and there is no Medicaid billing on file, meaning the practice has little to no Medicaid exposure and relies on Medicare for reported public-payer volume. That payer mix suggests limited engagement with Medicaid-managed or state-funded patient populations.

Competitive standing is mixed across procedures: for total shoulder arthroplasty (23472) the provider ranks #581 of 3439 nationally (82th percentile) — a typical, unremarkable national volume — while for arthroscopic rotator cuff repair (29827) the provider ranks #230 of 3445 (93th percentile), placing them toward the higher end of national peer volume for that specific procedure. Several arthroscopic shoulder codes such as 29828 (rank #37 of 1007, 96th percentile) and 29824 (rank #45 of 1304, 96th percentile) are described as notably above typical national volume, indicating pockets of above-average procedure-specific activity despite modest overall Medicare revenue.

The provider is an extreme national outlier on intra-articular corticosteroid injections coded J0702: 1.5K claims with $5 avg paid/claim producing $7.3K revenue (2.6% of Medicare revenue) and ranking #156 of 9282 (98th percentile). This pattern shows a very high volume of low-dollar injections relative to peers and likely reflects a practice emphasis on office-based injection management as part of nonoperative care pathways.

Clinic-level ambulatory work is a significant component of reported Medicare activity: 99213 appears with 379 claims and $23.5K revenue (8.3% of Medicare revenue), and 99214 has 196 claims and $17.2K (6.1%); diagnostic imaging such as 73030 (226 claims, $5.2K) is also frequent. Together these data indicate continuous outpatient evaluation and follow-up workload that complements the procedural mix.

Hand and wrist surgery forms a substantial secondary service line: carpal tunnel release 64721 accounts for $21K (7.5% of Medicare revenue) with 61 claims (rank #495 of 3206, 84th percentile) and thumb carpometacarpal arthroplasty 25447 accounts for $18.6K (6.6% of Medicare revenue) with 35 claims (rank #84 of 947, 90th percentile). These code-level ranks and revenues show the provider maintains meaningful hand surgery volume in addition to shoulder procedures.

The provider shows long tenure on file—NPI enumerated 2006-07-18 (~20 years ago)—which combined with modest total Medicare revenue of $282K suggests an established, lower-to-moderate volume orthopaedic practice rather than a high-throughput regional surgical center. This longevity supports a stable referral footprint but, given the single-payer dominance and revenue scale, indicates limited public payer diversification.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	40	$1,090	$43.6K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	50	$820	$37.5K
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…	380	$60	$23.5K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	60	$340	$21K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	40	$530	$18.6K
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…	200	$90	$17.2K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	40	$360	$14.9K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	60	$200	$11.2K
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…	100	$110	$10.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	220	$50	$10.9K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Troy Pierce — 8 of 25 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

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	1	10	20	$860	$20.8K
23472	2	20	20	$720	$17.9K
64721	2	10	40	$390	$16.3K
26480	2	10	30	$570	$14.9K
26123	3	10	20	$790	$11.9K
25447	2	10	20	$490	$11.8K
99214	372	1,470	90	$60	$10.4K
26055	2	10	40	$230	$8.8K
29824	1	10	20	$260	$6.3K
99213	76	1,490	80	$50	$5.8K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Kraljic	ND	Neurological Surgery Physician	$426.1K	$0
Derrick Cote	ND	Orthopaedic Surgery Physician	$251.1K	$0
Brian Dahl	ND	Orthopaedic Surgery Physician	$247.8K	$0
Timothy Bopp	ND	Orthopaedic Surgery Physician	$221K	$0
Joseph Carlson	ND	Orthopaedic Surgery Physician	$177.1K	$0
Darren Hill	ND	Ophthalmology Physician	$162.3K	$0
Duncan Ackerman	ND	Orthopaedic Surgery Physician	$157.6K	$0
Chad Carlson	ND	Orthopaedic Surgery Physician	$143K	$0
Brock Norrie	ND	Orthopaedic Surgery Physician	$115K	$0
Bradley Stork	ND	Family Nurse Practitioner	$84.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Troy Pierce — 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