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.

Coteau Des Prairies Hospital (NPI 1417051517)

Field	Value
Entity Type	Organization
Organization	Coteau Des Prairies Hospital
Address	205 Orchard Drive
City	Sisseton
State	SD
ZIP	57262
Taxonomy	Critical Access Hospital
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3490	Unclassified drugs	2,270	$380	$870.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,160	$170	$698.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,280	$50	$214.2K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	260	$490	$127.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	670	$170	$111.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,550	$20	$61.3K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,090	$50	$54.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	380	$110	$41.3K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	200	$110	$21K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,360	$10	$11.8K

Showing 1–10 of 35

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

Coteau Des Prairies Hospital — 0 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3490	Unclassified drugs	6	20	1,200	$170	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	7	10	150	$400	$440.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	48	60	680	$60	$205.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15	70	1,150	$50	$155.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4	10	230	$270	$100K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	27	110	990	$20	$82.9K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	16	50	420	$30	$54.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	24	40	550	$40	$50.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	6	30	170	$90	$43.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	29	40	170	$60	$41.7K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Coteau Des Prairies Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coteau Des Prairies Hospital	SD	Rural Health Clinic/Center	$0	$2.9M
Coteau Des Prairies Hospital	SD	Multi-Specialty Clinic/Center	$0	$438.4K
Gerald Rieber	SD	Orthopaedic Surgery Physician	$76.3K	$0
Stanley Gallagher	SD	Family Medicine Physician	$18.8K	$0

Nearby Providers

Other providers in the same ZIP code as Coteau Des Prairies Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodrow Wilson Keeble Memorial Health Care Center	SD	Clinic/Center	$0	$6.8M
Royce Grimsrud	SD	Optometrist	$17.1K	$519.9K
Community Transit, Inc	SD	Non-emergency Medical Transport (VAN)	$0	$215.5K
Sisseton School District 54 2	SD	Occupational Therapist	$0	$82.6K
John Weber Dds PLLC	SD	General Practice Dentistry	$0	$50.6K
Chukwuemeka Ekeke	SD	General Practice Physician	$2.8K	$39.8K
Jasmine Hypolite	SD	Psychiatric/Mental Health Nurse Practitioner	$22.1K	$0
Jennifer Hanson	SD	Nurse Practitioner	$8.9K	$0

Coteau Des Prairies Hospital — Billing Profile & Reimbursement Data

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Coteau Des Prairies Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References