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.

Sanford Medical Center (NPI 1023299708)

Field	Value
Entity Type	Organization
Organization	Sanford Medical Center
Address	1305 W 18th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Air Ambulance
NPI Enumerated	November 21, 2007

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Key Findings

SANFORD MEDICAL CENTER operates as an air ambulance provider: its Medicaid billing mix is dominated by fixed-wing and rotary-wing transport and mileage codes (A0430, A0435, A0431, A0436), indicating primary revenue generation from one-way air transports and per-mile charges rather than hospital-based or bundled facility services. The presence of both A0430/A0435 (fixed wing transport and mileage) and A0431/A0436 (rotary wing transport and mileage) shows the organization runs a mixed rotor/fixed-wing operation capable of multi-modal air transfers.

Medicaid is effectively the sole payer on file: the provider reports no Medicare billing on file while recording $11.9M in total Medicaid revenue, so all analysis of billed services and competitive standing should be interpreted in a Medicaid-only context. This payer concentration means commercial and Medicare market positions cannot be assessed from the available claims data.

Revenue concentration is high: the precomputed top three Medicaid codes account for 92.9% of total Medicaid revenue, signaling that a very small set of air-ambulance services drives almost all Medicaid receipts. That concentration suggests the provider’s financial performance is tightly coupled to volume and reimbursement behavior for A0430, A0435, and A0431.

Top Medicaid codes are large-ticket air-transport items with substantial per-claim payments: A0430 shows 2.9K claims at $1661 avg paid/claim for $4.9M revenue (40.9% of total Medicaid revenue), A0435 shows 3K claims at $1451 avg paid/claim for $4.4M revenue (36.8% of total), and A0431 shows 826 claims at $2183 avg paid/claim for $1.8M revenue (15.2% of total). These figures indicate that single one-way transports and per-mile charges are the primary revenue drivers, and the relatively high avg paid/claim values reflect the typical cost structure of air transport services.

Competitive standing within South Dakota is mixed by code: SANFORD ranks #2 of 7 providers in-state for A0430 and A0435 at the 83th percentile, described in the source as "typical, unremarkable volume for this code," which positions it as a meaningful but not dominant fixed-wing competitor statewide. By contrast, the provider ranks #1 of 3 in-state for A0431 and A0436 (100th percentile), with the source also labeling those volumes as "typical, unremarkable," indicating it is the top in-state reporter for rotary-wing transports and mileage among a small set of peers.

Service-level utilization signals are consistent with an organized, multi-aircraft operation: the roughly 3K claims for A0435 and 2.9K claims for A0430 suggest steady fixed-wing utilization, while 826 claims for A0431 and 843 claims for A0436 show meaningful rotary-wing activity. The distribution between transport and mileage codes implies routine inter-facility transfers and distance-based billing as recurring service patterns rather than occasional or solely emergency scene flights.

The provider has long tenure in the NPI registry (NPI enumerated: 2007-11-21, ~19 years ago), which, combined with concentrated Medicaid revenues and leading in-state ranks on several air-ambulance codes, suggests an established air-transport operation with a stable Medicaid billing footprint in South Dakota. Analysts should consider the supply-side limits implied by a small number of in-state competitors for rotary-wing services when modeling capacity and competitive dynamics.

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
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	2,930	$1,660	$4.9M
A0435	Fixed wing air mileage, per statute mile	3,020	$1,450	$4.4M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	830	$2,180	$1.8M
A0436	Rotary wing air mileage, per statute mile	840	$1,010	$849.7K

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

Sanford Medical Center — 2 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
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	2	10	1,130	$1,520	$2.2M
A0435	Fixed wing air mileage, per statute mile	2	10	1,160	$1,280	$1.9M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1	10	530	$1,770	$1.1M
A0436	Rotary wing air mileage, per statute mile	1	10	590	$800	$503.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanford Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Clinic	SD	Diagnostic Radiology Physician	$0	$6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M
Sanford Clinic	SD	Family Medicine Physician	$0	$2M
Sanford Clinic	SD	Maternal & Fetal Medicine Physician	$0	$1.2M
Sanford Clinic	SD	Obstetrics & Gynecology Physician	$0	$1.2M
Patrick Kelly	SD	Vascular Surgery Physician	$888.2K	$0
William Brunner	SD	Dermatology Physician	$885.1K	$0

Nearby Providers

Other providers in the same ZIP code as Sanford Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M
Avera Mckennan	SD	General Acute Care Hospital	$0	$3.7M

Sanford Medical Center — Billing Profile & Reimbursement Data

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Sanford Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References