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.

Great Plains Tribal Chairmen's Health Board (NPI 1376105452)

Field	Value
Entity Type	Organization
Organization	Great Plains Tribal Chairmen's Health Board
Address	3200 Canyon Lake Dr
City	Rapid City
State	SD
ZIP	57702
Taxonomy	Pharmacy
NPI Enumerated	June 28, 2019

Payer Source	Total Paid
Medicaid	$36.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused biller: total Medicaid revenue is $36.4M while there is no Medicare billing on file, making Medicaid the sole measurable payer in the dataset. That concentration means payer-contracting and utilization analyses should treat this entity as operating primarily within Medicaid populations rather than Medicare markets.

Revenue is highly concentrated in a single procedure family: the precomputed top-3 Medicaid codes account for 92.9% of the provider's Medicaid revenue, with 99213 alone representing $31.9M (88.7% of the provider's Medicaid revenue). That level of concentration indicates that a single E/M service drives the vast majority of dollars flowing to this NPI.

The code mix and top revenue drivers point to an outpatient evaluation-and-management operational model despite the listed Taxonomy of Pharmacy. The top codes are 99213, 99214, and 99212 — all E/M office visit codes — and other billed services include immunization administration (90471), injections (96372), and dental services (D0140, D0150, D1206), which together suggest a primary-care or integrated ambulatory service line with preventive and ancillary procedures rather than a narrow dispensing-only pharmacy operation.

Competitive standing for the dominant code is extreme: 99213 has 56.6K claims and $31.9M revenue and ranks #3 of 344 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). This provider is a major statewide volume leader for 99213 and likely a primary access point for routine outpatient visits within its service area.

Secondary E/M codes show typical participation levels: 99214 (2.9K claims, $788.8K revenue) ranks #51 of 260 (81th percentile) and 99212 (1.7K claims, $710.6K revenue) ranks #26 of 155 (84th percentile), both described as typical or unremarkable volumes in-state. These rankings suggest depth in the core E/M line but that the exceptional scale is concentrated specifically in 99213 rather than broadly across all E/M levels.

Ancillary and preventive services are present but represent a small share of revenue: examples include 90471 (1.4K claims, $82.5K revenue, 0.2%), 96372 (756 claims, $29.5K revenue, 0.1%), and dental codes D0140 (407 claims, $219K revenue, 0.6%) and D0150 (69 claims, $34.5K revenue, 0.1%). These items indicate service diversification into immunizations, basic injections, and some dental preventive or problem-focused care, but none approaches the revenue magnitude of the top E/M code.

There are a few notable high-percentile outliers beyond 99213 that warrant attention: W0037 (12.8K claims, $269K revenue) ranks #6 of 164 in-state (97th percentile; notably above typical state volume), and 0064A (128 claims, $61.2K revenue) ranks #2 of 11 (90th percentile; notably above typical state volume). These elevated percentiles for non-E/M codes may reflect programmatic or operational specialties (e.g., high-volume dispensing or procedure administration lines) that are material on a services basis even if they contribute modest revenue.

The NPI has been enumerated since 2019-06-28 (~7 years ago), giving it several years of claims history to establish relationships with Medicaid payers and referral sources. Given the short tenure relative to long-standing institutions but strong Medicaid revenue scale, payer analysts should consider both the rapid growth potential in Medicaid volume and the possibility that the provider captures a concentrated share of routine outpatient visits in its community.

Medicaid: Complete Services Breakdown

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	56,630	$560	$31.9M
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…	2,900	$270	$788.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,680	$420	$710.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,240	$420	$518.3K
W0037	N/A	12,810	$20	$269K
D0140	Limited oral evaluation – problem focused	410	$540	$219K
0001A	N/A	450	$450	$202.9K
0002A	N/A	400	$480	$189.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	430	$380	$164.2K
99203	The provider sees a new 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 provider…	350	$410	$144.8K

Showing 1–10 of 117

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

Great Plains Tribal Chairmen's Health Board — 3 of 25 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

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The 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…	3	340	1,010	$100	$511K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	12	10	190	$160	$230.6K
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…	51	260	860	$80	$222.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	31	40	1,100	$80	$181.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	10	60	120	$210	$171.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	153	190	430	$90	$154.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	30	40	260	$90	$151.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	13	20	30	$90	$144.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	10	30	270	$70	$138.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	38	50	410	$80	$127.2K

Showing 1–10 of 117

Related Providers

Other providers that share a Tax Identification Number (TIN) with Great Plains Tribal Chairmen's Health Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Back	OK	Diagnostic Radiology Physician	$125.1K	$0
Damon Brooks	OK	Diagnostic Radiology Physician	$104.2K	$0
Taylor Bowman	WY	Optometrist	$91.3K	$0
John Dennis	OK	Vascular & Interventional Radiology Physician	$81.3K	$0
Rafel Alvarez	OK	Diagnostic Radiology Physician	$65.9K	$0
Jess Moser	SD	Optometrist	$65.2K	$0
Adam Way	IN	Physical Therapist	$48.3K	$0
Laura Arrowsmith	OK	Diagnostic Radiology Physician	$34.3K	$0
Katelynn Gray	SD	Family Nurse Practitioner	$22.2K	$0
Mary Logue	ND	Dermatology Physician	$21.6K	$0

Nearby Providers

Other providers in the same ZIP code as Great Plains Tribal Chairmen's Health Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Works Inc	SD	Developmentally Disabled Services Day Training Agency	$0	$149.7M
Black Hills Pediatric Dentistry	SD	Pediatric Dentistry	$0	$24.7M
Dakota Dental 4 Kids	SD	Dental Clinic/Center	$0	$7.1M
Oglala Sioux Tribe	SD	Obstetrics & Gynecology Physician	$0	$5.2M
Rushmore Ambulatory Surgery Center	SD	Ambulatory Surgical Clinic/Center	$0	$4.6M
Stay Graceful Inc	SD	In Home Supportive Care Agency	$0	$3.4M
Children's Care Hospital And School	SD	Rehabilitation Clinic/Center	$0	$2.1M
Rushmore Dental Products, Inc.	SD	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Black Hills Orthopedic & Spine Center, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.7M
Black Hills Caregiving, LLC	SD	Home Health Agency	$0	$1.1M

Great Plains Tribal Chairmen's Health Board — Billing Profile & Reimbursement Data

Sign up for Great Plains Tribal Chairmen's Health Board — Billing Profile & Reimbursement Data policy alerts

Great Plains Tribal Chairmen's Health Board — Billing Profile & Reimbursement Data

Sign up for Great Plains Tribal Chairmen's Health Board — Billing Profile & Reimbursement Data policy alerts

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