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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. First District Health Unit
⚕️
Organization

First District Health Unit

NPI: 1245314533
Minot, ND
10 years of data
Public Health or Welfare Agency
$3.5M
Total Payments
85.6K
Beneficiaries
86.1K
Services
1.19x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.5M
Specialty median$21.7K

📋 Key Findings

1Billed $3.5M over 10 years
299th percentile in Public Health or Welfare Agency by payments
3Payments surged 217% in 2015
✓ No flags detected

🔎 Data Analysis

This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Public Health or Welfare Agency providers nationally.

Medicare payments to this provider grew 595% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 217% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$42.22$41.371.02x$0.85$113.0K6.2K6.2K
2015$58.00$56.581.03x$1.42$358.7K8.8K8.7K
2016$56.92$50.801.12x$6.12$170.7K6.4K6.3K
2017$70.50$56.781.24x$13.72$236.9K6.4K6.4K
2018$77.28$69.381.11x$7.90$264.6K6.3K6.2K
2019$75.64$68.681.10x$6.96$252.0K6.5K6.4K
2020$63.67$57.271.11x$6.40$268.8K6.8K6.8K
2021$61.06$38.721.58x$22.34$539.9K15.5K15.4K
2022$85.45$57.701.48x$27.75$487.8K11.2K11.2K
2023$83.72$74.021.13x$9.70$785.3K12.0K12.0K

Top Procedures (20)

90694Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage
$822.7K
12.1K services$68.02/svc1.06x markup
G0008Administration of influenza virus vaccine
$533.4K
29.5K services$18.07/svc1.09x markup
90670Pneumococcal vaccine for injection into muscle
$391.4K
2.4K services$165.24/svc1.07x markup
91320Sarscv2 vac 30mcg trs-suc im
$326.2K
2.5K services$128.38/svc1.02x markup
90662Vaccine for influenza for injection into muscle
$239.5K
5.1K services$47.11/svc1.03x markup
90653Vaccine for influenza for injection into muscle
$157.4K
2.7K services$58.31/svc1.02x markup
90732Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
$137.7K
1.3K services$102.22/svc1.12x markup
90688Vaccine for influenza administered into muscle to individuals 3 years of age and older
$118.5K
7.0K services$16.91/svc1.12x markup
0124AFee covid-19 vac 13 res
$107.4K
2.8K services$38.70/svc2.17x markup
90480Admn sarscov2 vacc 1 dose
$99.7K
2.5K services$39.20/svc1.02x markup
0003AFee covid-19 vac 1 booster
$86.7K
2.2K services$39.72/svc2.11x markup
0002AAdm sarscov2 30mcg/0.3ml 2nd
$82.8K
2.4K services$34.36/svc1.71x markup
G0009Administration of pneumococcal vaccine
$70.9K
4.0K services$17.78/svc1.05x markup
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
$69.2K
281 services$246.16/svc1.02x markup
0064AFee covid-19 vac 7 res
$51.2K
1.3K services$39.47/svc2.13x markup
0001AAdm sarscov2 30mcg/0.3ml 1st
$50.6K
2.5K services$20.04/svc1.92x markup
0054AAdm sarscv2 30mcg trs-sucr b
$39.6K
1.0K services$38.96/svc2.16x markup
90686Vaccine for influenza administered into muscle to individuals 3 years of age and older
$37.8K
2.3K services$16.69/svc1.40x markup
0012AAdm sarscov2 100mcg/0.5ml2nd
$23.6K
748 services$31.60/svc1.86x markup
0011AAdm sarscov2 100mcg/0.5ml1st
$15.3K
733 services$20.85/svc1.70x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
90694Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage12.1K$822.7K$68.021.06x
G0008Administration of influenza virus vaccine29.5K$533.4K$18.071.09x
90670Pneumococcal vaccine for injection into muscle2.4K$391.4K$165.241.07x
91320Sarscv2 vac 30mcg trs-suc im2.5K$326.2K$128.381.02x
90662Vaccine for influenza for injection into muscle5.1K$239.5K$47.111.03x
90653Vaccine for influenza for injection into muscle2.7K$157.4K$58.311.02x
90732Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older1.3K$137.7K$102.221.12x
90688Vaccine for influenza administered into muscle to individuals 3 years of age and older7.0K$118.5K$16.911.12x
0124AFee covid-19 vac 13 res2.8K$107.4K$38.702.17x
90480Admn sarscov2 vacc 1 dose2.5K$99.7K$39.201.02x
0003AFee covid-19 vac 1 booster2.2K$86.7K$39.722.11x
0002AAdm sarscov2 30mcg/0.3ml 2nd2.4K$82.8K$34.361.71x
G0009Administration of pneumococcal vaccine4.0K$70.9K$17.781.05x
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use281$69.2K$246.161.02x
0064AFee covid-19 vac 7 res1.3K$51.2K$39.472.13x
0001AAdm sarscov2 30mcg/0.3ml 1st2.5K$50.6K$20.041.92x
0054AAdm sarscv2 30mcg trs-sucr b1.0K$39.6K$38.962.16x
90686Vaccine for influenza administered into muscle to individuals 3 years of age and older2.3K$37.8K$16.691.40x
0012AAdm sarscov2 100mcg/0.5ml2nd748$23.6K$31.601.86x
0011AAdm sarscov2 100mcg/0.5ml1st733$15.3K$20.851.70x

Markup Analysis

Charge-to-Payment Ratio

1.19x

This provider submits charges 1.19 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.19x means for every $100 Medicare pays, this provider initially charges $119. This is lower than the national average.

Location

Minot, ND

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data