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    OpenPayerNPI Medicare & MedicaidMonument Health Network, Inc.
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    Monument Health Network, Inc. — Billing Profile & Reimbursement Data

    NPI 1174569347 · Spearfish, SD · Multi-Specialty Clinic/Center

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    Monument Health Network, Inc. is a multi-specialty clinic/center provider located in Spearfish, South Dakota. This profile covers 0 Medicare and 70 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 TypeOrganization
    OrganizationMonument Health Network, Inc.
    Address1440 N Main Street
    CitySpearfish
    StateSD
    ZIP57783
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$745.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.3,580$70$243.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.4,590$50$229.7K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.2,160$30$58.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.340$70$24.8K
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)20$890$19.5K
    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…840$20$17.6K
    G0463Hospital outpatient clinic visit for assessment and management of a patient1,450$10$16K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…580$30$14.4K
    A0435Fixed wing air mileage, per statute mile20$560$12.3K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate280$40$11.4K

    Showing 1–10 of 70

    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.

    Full comparison — all codes billed, vs. South Dakota median

    70 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)7101,130$1,520$2.2M
    A0435Fixed wing air mileage, per statute mile7101,160$1,280$1.9M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.23303,520$50$769.4K
    90863The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.11105,650$90$550.2K
    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…1863401,010$100$511K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2140270$180$281.6K
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.2120130$150$248.6K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.2040340$90$234.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…149260860$80$222.6K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.1360680$60$205.7K

    Showing 1–10 of 70

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M
    Richard WhiteARHematology & Oncology Physician$2.2M$0
    Monument Health Network, Inc.SDMulti-Specialty Clinic/Center$0$2M
    Jennifer MaySDInternal Medicine Physician$1.9M$0
    Monument Health Network, Inc.SDMulti-Specialty Clinic/Center$0$1.8M
    Monument Health Rapid City Hospital, Inc.SDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Luke HushagenSDInternal Medicine Physician$1.4M$0
    Don WynnTXPulmonary Disease Physician$1.4M$0

    Nearby Providers

    Other providers in the same ZIP code as Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Hills Training Center, Inc.SDDevelopmentally Disabled Services Day Training Agency$0$39.3M
    Lutheran Social Services Of SdSDPsychiatric Residential Treatment Facility$0$16.9M
    A.w. Holdings, LLCSDCase Manager/Care Coordinator$0$3.7M
    Edgewood Spearfish Senior Living LLCSDAssisted Living Facility (Behavioral Disturbances)$0$2.3M
    Spearfish Emergency Ambulance ServiceSDLand Ambulance$540.7K$302.3K
    West River Transit Authority, Inc.SDBus$0$788.1K
    Spearfish Collaborative Care LLCSDAssisted Living Facility$0$657.7K
    Black Hills Psychology, LLCSDClinical Psychologist$0$601.6K
    Monument Health Network, Inc.SDGeneral Acute Care Hospital$0$440.6K
    Dobson IncSDAssisted Living Facility$0$410.9K

    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.

    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Monument Health Network, Inc. — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota