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.

Blackhills Dialysis, L.L.C. (NPI 1316147440)

Field	Value
Entity Type	Organization
Organization	Blackhills Dialysis, L.L.C.
Address	Main Street
City	Eagle Butte
State	SD
ZIP	57625
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	July 18, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $5.6M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider rather than a dual-payor operation. Its NPI was enumerated on 2007-07-18 (~19 years ago), indicating a long-tenured presence in the market.

Revenue is extremely concentrated in a single procedure family: the top three Medicaid codes account for 99.6% of this provider's total Medicaid revenue, with 90999 alone generating $5.4M (96.3% of Medicaid revenue). This level of concentration implies that most net revenue flows from dialysis procedure billing rather than ancillary services.

The code mix is consistent with an in-center ESRD dialysis operation: 90999 (general dialysis services) dominates revenue, while J0882 (darbepoetin alfa) and J2916 (sodium ferric gluconate) appear as supportive anemia-management drugs. The presence of these injectable drug codes alongside 90999 is typical for providers delivering routine dialysis care with associated anemia therapy.

Despite the large absolute share from 90999, the provider ranks #5 of 26 in-state (84th percentile) for that code and is labeled as "typical, unremarkable volume" in the comparative dataset, indicating it is a relatively high-volume but not dominant statewide player for dialysis procedures. This suggests solid market participation but not market-leading scale within the state.

For anemia-management products, J0882 (darbepoetin alfa) contributed $155.9K (2.8% of Medicaid revenue) and ranks #3 of 6 in-state (60th percentile), categorized as "typical, unremarkable volume," which aligns with modest use of erythropoiesis-stimulating agents relative to peers. J2916 (sodium ferric gluconate) is $24.9K (0.4% of Medicaid revenue) and ranks #1 of 3 in-state (100th percentile) but is still a small revenue contributor, indicating leadership on this specific supply among a very small peer set without large financial impact.

Several other supply and vaccine codes are billed but represent de minimis revenue (for example, A4657 and various influenza vaccine codes together account for only a few thousand dollars), reinforcing that clinical activity and reimbursement are dominated by dialysis procedures and a small set of injectables. The broader mix shows limited diversification into higher-margin ancillary services.

The provider's dependence on a single code and a single payer exposes it to payer-specific reimbursement changes: with $5.6M all from Medicaid and 96.3% of that from 90999, any Medicaid policy or rate adjustment to dialysis procedure reimbursement could materially affect revenue. At the same time, the long tenure (~19 years) suggests operational persistence in the local market despite this concentration.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	27,030	$200	$5.4M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	750	$210	$155.9K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	300	$80	$24.9K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	330	$50	$16.8K
J2501	Injection, paricalcitol, 1 mcg	1,790	$1	$3.6K
A4657	Syringe, with or without needle, each	3,190	$1	$3.2K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	10	$20	$180
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	$10	$110
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	10	$0	$0
G0008	Administration of influenza virus vaccine	10	$0	$0

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

Blackhills Dialysis, L.L.C. — 1 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	5	30	3,520	$50	$769.4K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	3	10	680	$60	$75.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	154	160	180	$40	$59.6K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	3	10	330	$40	$28.5K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	1	10	170	$50	$8.3K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	19	20	70	$30	$5.5K
J2501	Injection, paricalcitol, 1 mcg	3	10	7,430	$1	$4K
G0008	Administration of influenza virus vaccine	41	40	80	$10	$3K
A4657	Syringe, with or without needle, each	2	10	1,260	$1	$920
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	4	10	20	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Blackhills Dialysis, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Dialysis, LLC	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M

Nearby Providers

Other providers in the same ZIP code as Blackhills Dialysis, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eagle Butte Indian Health Service Hospital	SD	Public Health or Welfare Agency	$0	$19.2M
Cheyenne River Sioux Tribe Field Health Clinic	SD	Primary Care Clinic/Center	$0	$8M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.3M
Missouri Breaks Industries Research, Inc.	SD	Durable Medical Equipment & Medical Supplies	$0	$2M
Cheyenne River Dental Clinic	SD	Public Health Dentistry	$0	$1.6M
Margaret Upell	SD	Family Medicine Physician	$21.2K	$377.7K
Medicine Wheel Village	SD	Assisted Living Facility	$0	$119.7K
Jaime Aguilar	SD	Physician Assistant	$8K	$0

Blackhills Dialysis, L.L.C. — Billing Profile & Reimbursement Data

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Blackhills Dialysis, L.L.C. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References