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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Rice
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    Heather Rice — Billing Profile & Reimbursement Data

    NPI 1023329919 · Rapid City, SD · Physician Assistant

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    Heather Rice is a physician assistant provider located in Rapid City, South Dakota. This profile covers 24 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHeather Rice
    Address7220 S Highway 16
    CityRapid City
    StateSD
    ZIP57702
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 25, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$56.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…280$50$14.8K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose80$100$7.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…160$40$6.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…110$60$6.7K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.80$30$2.3K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.70$30$2.3K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…70$30$2.2K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…30$60$2.1K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.90$20$1.8K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…20$90$1.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732361080$100$7K
    992131821,71080$50$6.4K
    72148466030$70$3.8K
    20611274050$50$3.6K
    206102722060$40$3.3K
    992035360030$60$2.9K
    73221224020$70$2.8K
    73721213020$60$2.6K
    72110147030$30$1.2K
    73630628090$10$1.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Black Hills Orthopedic & Spine Center, Inc.SDMulti-Specialty Clinic/Center$0$1.7M
    Rebecca LinquistSDOphthalmology Physician$904.5K$0
    Gregory WittenbergSDDermatology Physician$816K$0
    Black Hills Surgical Hospital, LLCSDUrgent Care Clinic/Center$0$698.5K
    Bradley ClarkMODiagnostic Radiology Physician$570.8K$0
    Gail BernardSDOphthalmology Physician$487.7K$0
    Ryan BereckyORDiagnostic Radiology Physician$250.2K$0
    Stephen LoosNVDiagnostic Radiology Physician$247.8K$0
    Jeffrey MarrsSDOrthopaedic Surgery Physician$247.5K$0
    Nathan JaquaSDGastroenterology Physician$237.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Heather Rice, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Black Hills Works IncSDDevelopmentally Disabled Services Day Training Agency$0$149.7M
    Great Plains Tribal Chairmen's Health BoardSDPharmacy$0$36.4M
    Black Hills Pediatric DentistrySDPediatric Dentistry$0$24.7M
    Dakota Dental 4 KidsSDDental Clinic/Center$0$7.1M
    Oglala Sioux TribeSDObstetrics & Gynecology Physician$0$5.2M
    Rushmore Ambulatory Surgery CenterSDAmbulatory Surgical Clinic/Center$0$4.6M
    Stay Graceful IncSDIn Home Supportive Care Agency$0$3.4M
    Children's Care Hospital And SchoolSDRehabilitation Clinic/Center$0$2.1M
    Rushmore Dental Products, Inc.SDDurable Medical Equipment & Medical Supplies$0$1.7M
    Black Hills Caregiving, LLCSDHome Health Agency$0$1.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Heather Rice — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota