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.

Huron Clinic Foundation Ltd (NPI 1184626962)

Field	Value
Entity Type	Organization
Organization	Huron Clinic Foundation Ltd
Address	111 4th St Se
City	Huron
State	SD
ZIP	57350
Taxonomy	Family Medicine Physician
NPI Enumerated	August 11, 2005

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	13,530	$40	$486.9K
99214	The 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…	2,980	$50	$142.9K
W0037	N/A	4,000	$20	$64K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	1,710	$30	$44.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,400	$30	$43.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	490	$60	$30.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	400	$60	$24.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,660	$10	$23.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,020	$20	$17.4K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,240	$10	$17.4K

Showing 1–10 of 52

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

Huron Clinic Foundation Ltd — 1 of 25 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The 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…	31	340	1,010	$100	$511K
99214	The 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…	50	260	860	$80	$222.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	50	410	$80	$127.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	74	160	210	$120	$97.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	18	110	990	$20	$82.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	15	30	150	$40	$72.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	18	60	170	$90	$66.3K
99203	The 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…	65	100	160	$60	$64.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	21	160	180	$40	$59.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	139	160	270	$30	$50.1K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Huron Clinic Foundation Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kristi Glanzer	SD	Nurse Practitioner	$204.5K	$0
Luke Roller	ND	Diagnostic Radiology Physician	$119.3K	$0
Michelle Brandenburg	SD	Family Nurse Practitioner	$100.7K	$0
Amy Albrecht	SD	Family Nurse Practitioner	$82.6K	$0

Nearby Providers

Other providers in the same ZIP code as Huron Clinic Foundation Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huron Area Center For Independence	SD	Developmental Disabilities Clinic/Center	$0	$75.7M
Our Home Inc	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$35.3M
Community Counseling Service	SD	Mental Health Counselor	$0	$13.7M
Our Home, Inc.	SD	Substance Abuse Rehabilitation Facility	$0	$9.6M
Independent Health Solutions LLC	SD	Home Health Agency	$0	$4M
Huron Regional Medical Center Inc	SD	Critical Access Hospital	$0	$3.4M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Huron Vt LLC	SD	Assisted Living Facility	$0	$1.9M
Dakota Family Dentistry, Prof. LLC	SD	Dental Clinic/Center	$0	$1.3M
Huron Eye Clinic PC	SD	Optometrist	$0	$1.2M

Huron Clinic Foundation Ltd — Billing Profile & Reimbursement Data

Sign up for Huron Clinic Foundation Ltd — Billing Profile & Reimbursement Data policy alerts

Huron Clinic Foundation Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References