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.

City Of Brookings (NPI 1275515579)

Field	Value
Entity Type	Organization
Organization	City Of Brookings
Address	300 22nd Ave
City	Brookings
State	SD
ZIP	57006
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$548.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The 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.	2,560	$60	$158.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7,340	$10	$102.8K
A9270	Non-covered item or service	4,330	$10	$60.6K
99283	The 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.	1,280	$40	$51K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	540	$90	$47.2K
J3490	Unclassified drugs	1,200	$30	$33.5K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	80	$330	$27.1K
99281	The provider sees a patient for the lowest level emergency department visit.	280	$60	$16.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	610	$20	$9.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	750	$10	$7.5K

Showing 1–10 of 28

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

City Of Brookings — 0 of 24 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3490	Unclassified drugs	12	20	1,200	$170	$1M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	4	10	170	$360	$236.6K
99285	The 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.	38	40	340	$90	$234.9K
99284	The 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.	46	60	680	$60	$205.7K
99283	The 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.	30	70	1,150	$50	$155.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	50	1,650	$10	$125.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	61	110	990	$20	$82.9K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3	10	30	$380	$82.8K
A9270	Non-covered item or service	7	30	1,140	$20	$80.5K
J7030	Infusion, normal saline solution , 1000 cc	5	10	230	$250	$77.2K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Brookings	SD	Multi-Specialty Clinic/Center	$0	$1.2M
City Of Brookings	SD	Anesthesiology Physician	$0	$551.5K
Shelby Eischens	SD	Family Medicine Physician	$179.9K	$0
Matthew Pardy	SD	Diagnostic Radiology Physician	$135K	$0
Kenneth Knudtson	SD	Ophthalmology Physician	$124.5K	$0
Sophie Two Hawk	SD	Internal Medicine Physician	$124K	$0
Jennifer Williamson	SD	Internal Medicine Physician	$121.9K	$0
Daniel Crosby	SD	Diagnostic Radiology Physician	$114.8K	$0
Bradley Paulson	SD	Diagnostic Radiology Physician	$114.2K	$0
Suzanne Woodward	SD	Diagnostic Radiology Physician	$114.1K	$0

Nearby Providers

Other providers in the same ZIP code as City Of Brookings, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance	SD	Case Management Agency	$0	$32.7M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.1M
East Central Mental Health & Chemical Dependency Center	SD	Community/Behavioral Health Agency	$0	$1.6M
Sanford Clinic	SD	Family Medicine Physician	$0	$606.7K
Brookings Family Dentistry, LLC	SD	Dental Clinic/Center	$0	$347.9K
Hy-vee Inc	SD	Community/Retail Pharmacy	$227.1K	$19.1K
Brookings Area Transit Authority Inc	SD	Bus	$0	$237.7K
Tasha J. Jones, O.d. P.C	SD	Optometrist	$0	$140.2K
Brookings Counseling Solutions LLC	SD	Mental Health Counselor	$0	$122.8K
Sanford Medical Center	SD	Community/Retail Pharmacy	$111K	$0

City Of Brookings — Billing Profile & Reimbursement Data

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City Of Brookings — 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