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    OpenPayerNPI Medicare & MedicaidSophie Two Hawk
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    Sophie Two Hawk — Billing Profile & Reimbursement Data

    NPI 1306862917 · Sioux Falls, SD · Internal Medicine Physician

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    Sophie Two Hawk is a internal medicine physician provider located in Sioux Falls, South Dakota. This profile covers 11 Medicare and 0 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 TypeIndividual
    OrganizationSophie Two Hawk
    Address6100 S Louise Ave Ste 1120
    CitySioux Falls
    StateSD
    ZIP57108
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 15, 2006

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

    Payer SourceTotal Paid
    Medicare$124K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…660$90$58.1K
    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…720$70$46.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.6K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…50$90$4.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$130$3.4K
    G0249Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage…60$50$2.7K
    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…50$50$2.1K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…20$60$990
    G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets…100$10$620
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…10$20$180

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214891,66090$70$11.4K
    99233629060$90$10.8K
    9923233657080$60$9.2K
    9922327634040$130$7.5K
    992131,4481,71080$50$6.4K
    9923915122050$90$5.4K
    9923811718020$60$1.9K
    93971998040$20$1.4K
    93010192270110$10$1.3K
    G024910N/A$N/A$N/A

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sophie Two Hawk, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$15.6M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Salt Lake Regional Medical Center LPUTGeneral Acute Care Hospital$0$9.8M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$8.9M
    Catholic Health Initiatives ColoradoCORural Health Clinic/Center$0$8.3M
    Catholic Health Iniatives ColoradoCOGeneral Acute Care Hospital$0$7.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$7.3M

    Nearby Providers

    Other providers in the same ZIP code as Sophie Two Hawk, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Vance Thompson Vision Surgery Center Prof LLCSDAmbulatory Surgical Clinic/Center$4.5M$22.7K
    Siouxland Oral SurgerySDOral and Maxillofacial Surgery (Dentist)$0$3.9M
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$3.4M
    Ryan GeraetsSDOphthalmology Physician$3M$0
    Anderson-smith Speech Therapy, LLCSDSpeech-Language Pathologist$0$1.9M
    Ophthalmology Ltd Eye Surgery Center L L CSDAmbulatory Surgical Clinic/Center$1.8M$16.2K
    Elizabeth AtchisonSDOphthalmology Physician$1.7M$0
    Dakota Vision Center, LLCSDOptometrist$0$1.2M
    Usc Ambulatory Surgical Center Prof LLCSDAmbulatory Surgical Clinic/Center$1.1M$44.2K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Sophie Two Hawk — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota