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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South 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. South 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.

Northern Hills Alcohol And Drug Services (NPI 1013057330)

Field	Value
Entity Type	Organization
Organization	Northern Hills Alcohol And Drug Services
Address	1010 Ballpark Rd
City	Sturgis
State	SD
ZIP	57785
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$110.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	930	$80	$70K
H0004	Behavioral health counseling and therapy, per 15 minutes	330	$80	$27.2K
H0001	Alcohol and/or drug assessment	40	$180	$7.7K
T1012	Alcohol and/or substance abuse services, skills development	140	$40	$5.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Dakota Distribution

Northern Hills Alcohol And Drug Services — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	9	20	520	$80	$128.2K
T1012	Alcohol and/or substance abuse services, skills development	11	10	1,030	$70	$81.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	11	20	390	$90	$61.9K
H0001	Alcohol and/or drug assessment	11	20	160	$150	$45.2K

Nearby Providers

Other providers in the same ZIP code as Northern Hills Alcohol And Drug Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Special Services Cooperative	SD	Developmentally Disabled Services Day Training Agency	$0	$33.7M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$737.5K
Black Hills Special Services	SD	Case Management Agency	$0	$551.6K
Action For The Betterment Of The Community	SD	Community/Behavioral Health Agency	$0	$538.1K
Black Hills Counseling LLC	SD	Mental Health Counselor	$0	$491.4K
Black Hills Special Services Cooperative	SD	Case Management Agency	$0	$471.3K
Northern Hills Eye Care, Prof. L.L.C.	SD	Optometrist	$0	$428.4K
Sturgis Chiropractic, P.C.	SD	Chiropractor	$0	$277.3K
City Of Sturgis	SD	Land Ambulance	$174.7K	$35K
Meade School District 46 1	SD	Local Education Agency (LEA)	$0	$196.9K

Northern Hills Alcohol And Drug Services — Billing Profile & Reimbursement Data

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Northern Hills Alcohol And Drug Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References