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.

Foothills Assisted Living Inc (NPI 1386861631)

Field	Value
Entity Type	Organization
Organization	Foothills Assisted Living Inc
Address	1105 5th St
City	Sturgis
State	SD
ZIP	57785
Taxonomy	Assisted Living Facility
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$140.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	170	$810	$140.3K

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

Foothills Assisted Living Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	27	40	340	$1,090	$1.1M

Nearby Providers

Other providers in the same ZIP code as Foothills Assisted Living Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Special Services Cooperative	SD	Developmentally Disabled Services Day Training Agency	$0	$33.7M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$737.5K
Black Hills Special Services	SD	Case Management Agency	$0	$551.6K
Action For The Betterment Of The Community	SD	Community/Behavioral Health Agency	$0	$538.1K
Black Hills Counseling LLC	SD	Mental Health Counselor	$0	$491.4K
Black Hills Special Services Cooperative	SD	Case Management Agency	$0	$471.3K
Northern Hills Eye Care, Prof. L.L.C.	SD	Optometrist	$0	$428.4K
Sturgis Chiropractic, P.C.	SD	Chiropractor	$0	$277.3K
City Of Sturgis	SD	Land Ambulance	$174.7K	$35K
Meade School District 46 1	SD	Local Education Agency (LEA)	$0	$196.9K

Foothills Assisted Living Inc — Billing Profile & Reimbursement Data

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Foothills Assisted Living Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References