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.

Monument Health Network, Inc. (NPI 1548648264)

Field	Value
Entity Type	Organization
Organization	Monument Health Network, Inc.
Address	1420 N 10th St
City	Spearfish
State	SD
ZIP	57783
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 14, 2015

Payer Source	Total Paid
Medicaid	$214.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	16,740	$10	$200.8K
J0897	Injection, denosumab, 1 mg	90	$60	$4.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$80	$3.8K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	190	$20	$3.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	190	$10	$930
Q3014	Telehealth originating site facility fee	100	$10	$680
G0008	Administration of influenza virus vaccine	60	$0	$0

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

Monument Health Network, Inc. — 0 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	50	1,650	$10	$125.4K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	28	40	730	$10	$48.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	55	70	170	$20	$16.6K
Q3014	Telehealth originating site facility fee	21	30	190	$20	$9.7K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	11	30	100	$10	$4.8K
J0897	Injection, denosumab, 1 mg	1	10	90	$60	$4.8K
G0008	Administration of influenza virus vaccine	27	40	80	$10	$3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$2M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.8M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$745.7K
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$737.5K
Monument Health Network, Inc.	SD	Family Medicine Physician	$0	$639K
Monument Health Network, Inc.	SD	General Acute Care Hospital	$0	$440.6K
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$357.7K
Rakesh Ponnapureddy	IA	Cardiovascular Disease Physician	$250.8K	$0
Ethan Levine	NY	Clinical Cardiac Electrophysiology Physician	$222.4K	$220
Joseph Tuma	SD	Interventional Cardiology Physician	$209.4K	$0

Nearby Providers

Other providers in the same ZIP code as Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Hills Training Center, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$39.3M
Lutheran Social Services Of Sd	SD	Psychiatric Residential Treatment Facility	$0	$16.9M
A.w. Holdings, LLC	SD	Case Manager/Care Coordinator	$0	$3.7M
Edgewood Spearfish Senior Living LLC	SD	Assisted Living Facility (Behavioral Disturbances)	$0	$2.3M
Spearfish Emergency Ambulance Service	SD	Land Ambulance	$540.7K	$302.3K
West River Transit Authority, Inc.	SD	Bus	$0	$788.1K
Spearfish Collaborative Care LLC	SD	Assisted Living Facility	$0	$657.7K
Black Hills Psychology, LLC	SD	Clinical Psychologist	$0	$601.6K
Dobson Inc	SD	Assisted Living Facility	$0	$410.9K
Enso Mental Health, LLC	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$269K

Monument Health Network, Inc. — Billing Profile & Reimbursement Data

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Monument Health Network, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References