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.

St. Alexius Medical Center (NPI 1972667673)

Field	Value
Entity Type	Organization
Organization	St. Alexius Medical Center
Address	900 E Broadway Ave
City	Bismarck
State	ND
ZIP	58501
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$329.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	10,020	$30	$290.6K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1,610	$10	$20.9K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	1,650	$1	$6.6K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	910	$1	$910
A4657	Syringe, with or without needle, each	440	$1	$890
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	440	$1	$880
84132	The lab analyst measures the amount of potassium in a patient specimen, typically blood, which the analyst collects using routine vein puncture.	830	$1	$830
84075	The lab analyst measures the alkaline phosphatase, typically in a serum sample. The origin of the enzyme alkaline phosphatase is primarily from the liver, bone, intestine, and lungs.	810	$1	$810
82247	The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.	810	$1	$810
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	810	$1	$810

Showing 1–10 of 24

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

St. Alexius Medical Center — 5 of 19 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	5	10	10,020	$70	$1.2M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	3	10	1,130	$20	$52.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	23	50	520	$1	$19.7K
84295	The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood.	4	10	1,750	$10	$15K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	12	20	320	$10	$14K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	4	10	700	$1	$6.3K
J1644	Injection, heparin sodium, per 1000 units	5	10	2,860	$1	$5K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	9	20	580	$1	$4.9K
A4657	Syringe, with or without needle, each	5	10	1,610	$1	$4.7K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	3	10	1,310	$1	$1.5K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Winona Health Services	MN	General Acute Care Hospital	$0	$13.4M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Robert Reynolds	ND	Radiation Oncology Physician	$1.4M	$0
Rohit Kapoor	TX	Hematology & Oncology Physician	$1.2M	$0
Joseph Rosen	AZ	Medical Oncology Physician	$978.5K	$0
Cole Kreofsky	ND	Radiation Oncology Physician	$959K	$0

Nearby Providers

Other providers in the same ZIP code as St. Alexius Medical Center, 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
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
Sanford Bismarck	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M

St. Alexius Medical Center — Billing Profile & Reimbursement Data

Sign up for St. Alexius Medical Center — Billing Profile & Reimbursement Data policy alerts

St. Alexius Medical Center — Billing Profile & Reimbursement Data

Sign up for St. Alexius Medical Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References