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.

Darren Chester (NPI 1316974959)

Field	Value
Entity Type	Individual
Organization	Darren Chester
Address	3401 S Kelley Ave
City	Sioux Falls
State	SD
ZIP	57106
Taxonomy	Family Medicine Physician
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicare	$55.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	30	$800	$21.6K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	20	$980	$16.6K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	50	$140	$6.1K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	50	$110	$6K
99204	The provider sees a new 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 provider…	20	$90	$2.2K
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…	30	$80	$1.9K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	30	$40	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Darren Chester — 0 of 7 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36475	4	10	30	$760	$25.7K
36465	1	10	20	$1,010	$16.1K
99214	1,355	1,660	90	$70	$11.4K
99204	426	670	30	$100	$5.1K
36471	3	10	30	$100	$4.8K
93970	21	60	30	$40	$2.6K
76942	28	60	30	$30	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mia Miller	MN	Surgery Physician	$145.3K	$0
Lornell Hansen	SD	Family Medicine Physician	$93.3K	$0
Elizabeth Gavin	MN	Surgery Physician	$80K	$0
Devanie Sutter	MN	Physician Assistant	$5.7K	$0

Nearby Providers

Other providers in the same ZIP code as Darren Chester, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Nursing Services, Ltd	SD	Home Health Agency	$0	$33.2M
Independent Living Choices	SD	Home Health Agency	$0	$13M
Edgewood Prairie Crossings Sioux Falls	SD	Assisted Living Facility	$0	$1.8M
Children's Care Hospital And School	SD	Rehabilitation Hospital	$0	$1.8M
Kore Cares, LLC	SD	Home Health Agency	$0	$1.3M
Weber Home Care Services LLC	SD	Home Health Agency	$0	$1.3M
Stronghold Counseling Services Inc	SD	Counselor	$0	$1.1M
Avera Mckennan	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Gpps LLC	SD	Multi-Specialty Clinic/Center	$0	$836.4K
North Central Eye, Inc.	SD	Clinic/Center	$0	$764.5K

Darren Chester — Billing Profile & Reimbursement Data

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Darren Chester — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References