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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBen Liscano
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    Ben Liscano — Billing Profile & Reimbursement Data

    NPI 1326301128 · Madison, SD · Family Medicine Physician

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    Ben Liscano is a family medicine physician provider located in Madison, South Dakota. This profile covers 9 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
    OrganizationBen Liscano
    Address323 Sw 10th St
    CityMadison
    StateSD
    ZIP57042
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 18, 2012

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

    Payer SourceTotal Paid
    Medicare$42.7K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…150$80$12.1K
    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…160$60$9.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…140$50$6.8K
    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…70$60$4.2K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…40$100$3.8K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.40$60$2.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$2.3K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…20$40$820
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$30$530

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9923217857080$60$9.2K
    99309188060$70$7.1K
    99308169050$50$4.5K
    9922224145030$90$3.5K
    9931551030$50$2.2K
    9923120025040$40$2.1K
    9930512020$100$2K
    992381418020$60$1.9K
    G018082020$40$870

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Horizon Health Care, IncSDFederally Qualified Health Center (FQHC)$0$9.7M
    Horizon Health Care Inc.SDFederally Qualified Health Center (FQHC)$0$3.3M
    Horizon Health Care IncSDFederally Qualified Health Center (FQHC)$0$3.2M
    Horizon Health Care IncSDFederally Qualified Health Center (FQHC)$0$2.3M
    Horizon Health Care, IncSDFederally Qualified Health Center (FQHC)$0$1.2M
    Horizon Health Care IncSDFamily Medicine Physician$0$1.1M
    Madison Community HospitalSDCritical Access Hospital$0$1M
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Horizon Health Care IncSDFederally Qualified Health Center (FQHC)$0$915.7K
    Horizon Health Care IncSDFederally Qualified Health Center (FQHC)$0$705.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Every Citizen Counts OrganizationSDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.7M
    Eyecare Center Of Madison Prof LLCSDOptometrist$0$244.1K
    Inter-lakes Community Action PartnershipSDVoluntary or Charitable Agency$0$192.5K
    Sanford Medical CenterSDCommunity/Retail Pharmacy$119.8K$290
    Madison Central School DistrictSDLocal Education Agency (LEA)$0$87K
    Kevin M. Donlin, D.m.d., P.C.SDGeneral Practice Dentistry$0$82K
    Jason EvansSDNeurology Chiropractor$60.8K$0
    Madison Family Dental Prof LLCSDGeneral Practice Dentistry$0$51.8K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$41.4K
    Justin ClemSDFamily Medicine Physician$41K$0

    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
    Ben Liscano — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota