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.

Rosebud Sioux Tribe -chr (NPI 1073867420)

Field	Value
Entity Type	Organization
Organization	Rosebud Sioux Tribe -chr
Address	729 Hospital Drive
City	Rosebud
State	SD
ZIP	57570
Taxonomy	Private Vehicle
NPI Enumerated	November 7, 2012

Payer Source	Total Paid
Medicaid	$304.3K
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
S0215	Non-emergency transportation; mileage, per mile	5,710	$50	$262.7K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	6,690	$1	$26.8K
A0425	Ground mileage, per statute mile	140	$60	$8.3K
SO215	N/A	80	$80	$6.6K

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

Rosebud Sioux Tribe -chr — 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
S0215	Non-emergency transportation; mileage, per mile	2	20	900	$100	$169.9K
A0425	Ground mileage, per statute mile	37	60	680	$50	$106.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2	20	1,060	$10	$9.9K
SO215	N/A	1	10	80	$80	$6.6K

Nearby Providers

Other providers in the same ZIP code as Rosebud Sioux Tribe -chr, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosebud Indian Health Service	SD	General Acute Care Hospital	$0	$22.2M
Rosebud Sioux Tribe Ambulance Service	SD	Paramedic	$406K	$6.1M
Guardian Flight LLC	SD	Air Ambulance	$336.5K	$3.3M
Total Renal Care Inc	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Anne Cowles	SD	Family Nurse Practitioner	$23.7K	$0
Shannelle Rico	SD	Family Medicine Physician	$8K	$0

Rosebud Sioux Tribe -chr — Billing Profile & Reimbursement Data

Sign up for Rosebud Sioux Tribe -chr — Billing Profile & Reimbursement Data policy alerts

Rosebud Sioux Tribe -chr — Billing Profile & Reimbursement Data

Sign up for Rosebud Sioux Tribe -chr — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References