Clinic
Mid Dakota Clinic, INC.
Mid Dakota Clinic, INC. was paid $2.87M by Medicaid between Jan 2018 and Sep 2022, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoMID DAKOTA CLINIC, INC.
BISMARCK, ND 58501
BISMARCK, ND 58501
33aNPI1275587826assigned 05/19/2006
33bProvider typeClinic/Center
28Total paid$2.87M
24GClaims56,592
24DCodes billed41
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Clinic/Center providers in North Dakota
Rank by total paid#5 of 38
Median peer was paid$30K
This provider vs. median94×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,789 | $701K | |
| 2019 | 14,398 | $621K | |
| 2020 | 9,358 | $475K | |
| 2021 | 10,313 | $620K | |
| 2022 | 6,734 | $453K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 31,106 | 24,781 | $1.86M |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 17% | 3,888 | 3,848 | $491K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.8% | 2,914 | 2,149 | $252K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 3,427 | 3,354 | $51K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 2,981 | 1,634 | $46K |
| 71046 | Radiologic examination, chest; 2 views | 1.5% | 1,965 | 1,481 | $44K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 4,606 | 1,624 | $31K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,140 | 692 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 180 | 151 | $16K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 38 | 38 | $10K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 89 | 85 | $6K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 469 | 264 | $6K |
29 more codes
| 99460 | <1% | 55 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 40 | $4K |
| 11721 | <1% | 661 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $3K |
| 76536 | <1% | 29 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,056 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 24 | $1K |
| 90474 | <1% | 80 | $1K | |
| 90670 | <1% | 357 | $1K | |
| 92567 | <1% | 132 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $1K |
| 73630 | <1% | 40 | $978.40 | |
| 95251 | <1% | 75 | $973.08 | |
| 90686 | <1% | 576 | $859.23 | |
| 74018 | <1% | 29 | $670.26 | |
| 74019 | <1% | 13 | $347.32 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 25 | $281.41 |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $226.20 |
| 99307 | <1% | 64 | $215.26 | |
| 90688 | <1% | 70 | $17.84 | |
| 90672 | 0% | 25 | $0.00 | |
| 90648 | 0% | 25 | $0.00 | |
| 99072 | 0% | 133 | $0.00 | |
| 84439 | 0% | 64 | $0.00 | |
| 90680 | 0% | 51 | $0.00 | |
| 90723 | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEEGAARD, WILLIAM (PRESIDENT)