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.

Same Day Surgery Center LLC (NPI 1407819253)

Field	Value
Entity Type	Organization
Organization	Same Day Surgery Center LLC
Address	651 Cathedral Dr
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Special Hospital
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicaid	$201.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	600	$180	$109.1K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	330	$240	$79K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	30	$430	$12K
J7120	Ringers lactate infusion, up to 1000 cc	10	$110	$1.3K
J7121	5% dextrose in lactated ringers infusion, up to 1000 cc	10	$30	$340
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	10	$0	$0
A9270	Non-covered item or service	210	$0	$0
J1100	Injection, dexamethasone sodium phosphate, 1 mg	50	$0	$0
J1885	Injection, ketorolac tromethamine, per 15 mg	30	$0	$0
J2405	Injection, ondansetron hydrochloride, per 1 mg	110	$0	$0

Showing 1–10 of 12

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

Same Day Surgery Center LLC — 0 of 5 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	10	150	$400	$440.3K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	2	10	330	$860	$383.1K
J7120	Ringers lactate infusion, up to 1000 cc	7	10	90	$300	$114.8K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	7	10	30	$260	$99.6K
A9270	Non-covered item or service	22	30	1,140	$20	$80.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	10	10	120	$510	$66.4K
J3010	Injection, fentanyl citrate, 0.1 mg	7	10	160	$10	$10K
J1885	Injection, ketorolac tromethamine, per 15 mg	12	20	170	$10	$5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	15	20	140	$10	$4.1K
J2405	Injection, ondansetron hydrochloride, per 1 mg	9	10	270	$1	$3.3K

Showing 1–10 of 12

Same Day Surgery Center LLC — Billing Profile & Reimbursement Data

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Same Day Surgery Center LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References