North Dakota Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
North Dakota has 4K Medicare providers who collectively received $188.0M in Medicare payments, averaging $49K per provider. With below-average per-provider Medicare revenue, North Dakota practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 693 providers, followed by Physician Assistant (304) and Chiropractic (292). Nurse Practitioner providers in North Dakota average $20K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Fargo (1,294 providers), with Bismarck and Grand Forks also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
4K
in North Dakota
Total Medicare Payment
$188.0M
Avg Payment / Provider
$49K
Total Services
5.3M
North Dakota Performance Signals
Revenue per Provider
$49,125
-38.4% vs benchmark · national avg $79,744
Provider Market Share
0.3% of US
-83.7% vs benchmark · 3,826 providers
CCM Adoption
0.5%
-95.4% vs benchmark · national 11.3%
RPM Adoption
0.1%
-99.2% vs benchmark · national 6.5%
AWV Completion
7.1%
-59.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How North Dakota Compares
vs Neighboring States
Top Revenue Opportunities in North Dakota
Chronic Care Management (99490)
Only 0.5% of providers bill CCM vs 11.3% national average. 411 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.1% vs 6.5% nationally. 245 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 7.1% trails the 17.5% national average. 397 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in North Dakota
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 693 | $20K |
| Physician Assistant | 304 | $19K |
| Chiropractic | 292 | $11K |
| Family Practice | 265 | $38K |
| Physical Therapist in Private Practice | 248 | $25K |
| Certified Registered Nurse Anesthetist (CRNA) | 214 | $7K |
| Optometry | 172 | $28K |
| Internal Medicine | 122 | $79K |
| Emergency Medicine | 96 | $41K |
| Hospitalist | 89 | $61K |
| Mass Immunizer Roster Biller | 87 | $47K |
| Ambulance Service Provider | 83 | $133K |
| Anesthesiology | 69 | $19K |
| Diagnostic Radiology | 68 | $116K |
| General Surgery | 63 | $22K |
| Orthopedic Surgery | 54 | $90K |
| Psychologist, Clinical | 54 | $21K |
| Psychiatry | 51 | $17K |
| Licensed Clinical Social Worker | 51 | $9K |
| Obstetrics & Gynecology | 49 | $5K |
Top Cities in North Dakota
Fargo
Bismarck
Grand Forks
Minot
Dickinson
Jamestown
West Fargo
Williston
Wahpeton
Mandan
Devils Lake
Valley City
Lisbon
Beulah
Oakes
Rugby
Grafton
Hettinger
Hazen
Watford City
Carrington
Garrison
Harvey
Belcourt
Casselton
New Town
Bottineau
Wishek
Cando
Hillsboro
Top 50 Providers in North Dakota
Scan a Provider in North Dakota
Explore More
Scan a Provider in North Dakota
Enter an NPI number for any Medicare provider in North Dakota to instantly see missed revenue opportunities.
Run Free Scan