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    OpenPayerNPI Medicare & MedicaidWinner Regional Healthcare Center
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    Winner Regional Healthcare Center — Billing Profile & Reimbursement Data

    NPI 1538233549 · Winner, SD · Critical Access Hospital

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    Winner Regional Healthcare Center is a critical access hospital provider located in Winner, South Dakota. This profile covers 0 Medicare and 17 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 TypeOrganization
    OrganizationWinner Regional Healthcare Center
    Address745 E 8th St
    CityWinner
    StateSD
    ZIP57580
    TaxonomyCritical Access Hospital
    NPI EnumeratedNovember 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$390.1K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs1,560$110$176.2K
    87502The 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…640$120$75K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$480$30.7K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc530$50$23.8K
    87651The 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.880$20$19.3K
    99283The 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.250$60$15.4K
    80053The 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.110$120$12.9K
    85025A 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…440$30$10.9K
    87081The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.260$30$7.7K
    87634The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.30$200$6.6K

    Showing 1–10 of 17

    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.

    Full comparison — all codes billed, vs. South Dakota median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3490Unclassified drugs11201,200$170$1M
    99213The 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…2903401,010$100$511K
    99283The 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.46701,150$50$155.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.88110990$20$82.9K
    A9270Non-covered item or service26301,140$20$80.5K
    99203The 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…70100160$60$64.4K
    87651The 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.1950420$30$54.1K
    99282The 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.4140550$40$50.2K
    87502The 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…830170$90$43.6K
    80053The 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.5570920$20$33.8K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Winner Regional Healthcare Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Winner Regional Healthcare CenterSDRural Health Clinic/Center$0$3M
    Winner Regional Health ClinicSDFamily Nurse Practitioner$0$192.7K
    Ryan HydeSDPulmonary Disease Physician$48.6K$0
    Travis FitzkeNDPodiatrist$32.2K$0
    Rick WagnerSDSurgery Physician$17.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Winner Regional Healthcare Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Connections IncSDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$22.6M
    Southern Plains Behavioral Health Services IncSDCommunity/Behavioral Health Agency$0$6.8M
    Twobros. Inc.SDAssisted Living Facility$0$1.3M
    Guardian Flight LLCSDAir Ambulance$336.6K$405K
    Dr Daniel L Peters Od PCSDOptometrist$0$396.6K
    Manke Family Dentistry, PCSDDentist$0$224.9K
    County Of TrippSDLand Ambulance$154.3K$65.3K
    Winner Physical Therapy IncSDPhysical Therapy Clinic/Center$0$162K
    Atlas Chiropractic Of Winner, LLCSDChiropractor$0$161.1K
    Patterson Family Dental Prof LLCSDGeneral Practice Dentistry$0$150.4K

    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.

    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Winner Regional Healthcare Center — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota