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.

Bowling Green Inn Of South Dakota, Inc. (NPI 1104885649)

Field	Value
Entity Type	Organization
Organization	Bowling Green Inn Of South Dakota, Inc.
Address	1010 E 2nd St
City	Canton
State	SD
ZIP	57013
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Key Findings

BOWLING GREEN INN OF SOUTH DAKOTA, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $6.6M in total Medicaid revenue. This absence of Medicare activity means analyses and competitive comparisons should focus solely on Medicaid performance and in-state peers.

Revenue for this provider is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.9% of total Medicaid revenue. That concentration indicates the facility’s financial performance is driven almost entirely by a very small set of service lines rather than a broad mix of outpatient or ancillary billing.

The code mix and descriptions identify this entity as a facility-focused substance abuse treatment operator: H0019 (long-term residential, without room and board, per diem) and H2036 (alcohol and/or other drug treatment program, per diem) together dominate revenue, implying the provider delivers extended residential and programmatic per-diem services rather than episodic outpatient medical care. The presence of H0005 (group counseling) and H0001 (assessment) at much smaller shares suggests some complementary counseling and intake activity tied to those residential programs.

H0019 is the single largest driver of Medicaid revenue at $5.4M and 82.9% of this provider’s Medicaid revenue; it ranks #4 of 7 providers in-state (50th percentile) and is characterized in the data as typical and unremarkable volume for that code. This position indicates the provider is a mid-ranked state participant on long-term residential per-diem services rather than a dominant statewide leader for that line.

H2036 contributes $916.4K and 14.0% of Medicaid revenue and is reported as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). Because this provider is the sole filer for H2036 in-state, it occupies a unique statewide position for that specific per-diem program offering, but that uniqueness reflects an absence of comparators rather than clear market dominance.

H0005 (group counseling) and H0001 (assessment) are minor revenue contributors at $194.8K (3.0%) and $7.8K (0.1%) respectively and rank in the middle-to-lower range among state peers (#12 of 20 for H0005 at the 42th percentile; #10 of 16 for H0001 at the 40th percentile). These smaller outpatient/clinical codes indicate ancillary clinical services support the core residential model but are not primary revenue drivers.

The provider’s NPI tenure is long-standing: enumeration on 2006-03-22 (~20 years ago) suggests an established operation with multi-year presence in the state behavioral health landscape. That longevity, combined with a heavy reliance on residential per-diem billing, signals operational stability in a narrow service niche.

The business profile implies concentration risk: reliance on H0019 and H2036 for the vast majority of revenue (82.9% and 14.0% respectively, with the top three codes at 99.9%) makes the provider sensitive to Medicaid rate changes, utilization shifts, or policy changes affecting per-diem residential programs. Analysts should treat future Medicaid policy or rate updates for these specific codes as high-impact events for this provider’s financial outlook.

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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,970	$2,770	$5.4M
H2036	Alcohol and/or other drug treatment program, per diem	390	$2,370	$916.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	450	$430	$194.8K
H0001	Alcohol and/or drug assessment	50	$170	$7.8K

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

Bowling Green Inn Of South Dakota, Inc. — 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4	10	1,970	$1,550	$3.8M
H2036	Alcohol and/or other drug treatment program, per diem	1	10	390	$2,370	$916.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	20	520	$80	$128.2K
H0001	Alcohol and/or drug assessment	10	20	160	$150	$45.2K

Nearby Providers

Other providers in the same ZIP code as Bowling Green Inn Of South Dakota, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Health Network	SD	Critical Access Hospital	$0	$189.7K
Jonathan Toso	SD	Optometrist	$40.6K	$3K
Michelle Johnson	SD	Family Medicine Physician	$20.6K	$0

Bowling Green Inn Of South Dakota, Inc. — Billing Profile & Reimbursement Data

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Bowling Green Inn Of South Dakota, Inc. — 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

Nearby Providers

Frequently Asked Questions

References