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.

S F Foot Specialist, PLLC (NPI 1013256106)

Field	Value
Entity Type	Organization
Organization	S F Foot Specialist, PLLC
Address	1320 S Minnesota Ave Ste 102
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	February 8, 2013

Payer Source	Total Paid
Medicaid	$41.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	4,250	$10	$21.2K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	810	$10	$5.7K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	1,430	$1	$4.3K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	820	$1	$2.5K
99334	N/A	120	$20	$2.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	120	$10	$1.5K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	120	$10	$1.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	90	$20	$1.4K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	830	$1	$830
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	30	$0	$0

Showing 1–10 of 13

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

S F Foot Specialist, PLLC — 5 of 9 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	38	60	190	$30	$20.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	32	70	60	$50	$13.8K
99334	N/A	2	10	60	$30	$13.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	1	30	100	$10	$4.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	8	30	40	$20	$2.8K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	1	10	70	$10	$2.4K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	1	10	470	$1	$2.2K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	1	10	80	$1	$1.3K
99335	N/A	4	10	50	$20	$1.2K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	1	10	700	$1	$480

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with S F Foot Specialist, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gabriel Rodriguez	SD	Foot & Ankle Surgery Podiatrist	$121.3K	$2K

S F Foot Specialist, PLLC — Billing Profile & Reimbursement Data

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S F Foot Specialist, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References