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.

Prairie Lakes Health Care System Inc (NPI 1659316214)

Field	Value
Entity Type	Organization
Organization	Prairie Lakes Health Care System Inc
Address	401 9th Ave Nw
City	Watertown
State	SD
ZIP	57201
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$703.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	5,030	$50	$256.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8,070	$10	$113K
J7120	Ringers lactate infusion, up to 1000 cc	250	$400	$99.8K
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…	6,530	$10	$71.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	900	$60	$50.6K
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.	1,590	$30	$41.4K
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…	650	$40	$23.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	60	$170	$10.2K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	590	$20	$9.4K
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…	70	$110	$7.2K

Showing 1–10 of 21

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

Prairie Lakes Health Care System Inc — 1 of 19 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3490	Unclassified drugs	21	20	1,200	$170	$1M
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.	57	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.	26	70	1,150	$50	$155.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	50	1,650	$10	$125.4K
J7120	Ringers lactate infusion, up to 1000 cc	3	10	90	$300	$114.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	55	110	990	$20	$82.9K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4	20	200	$40	$72.9K
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.	2	40	550	$40	$50.2K
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…	5	40	730	$10	$48.8K
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…	26	30	170	$90	$43.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prairie Lakes Health Care System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prairie Lakes Health Care System Inc	SD	Rural Acute Care Hospital	$0	$2M
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Coteau Des Prairies Hospital	SD	Multi-Specialty Clinic/Center	$0	$438.4K
Aaron Gould	IL	Diagnostic Radiology Physician	$126.2K	$209.3K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Hollis Nipe	SD	Internal Medicine Physician	$246.8K	$0
Michael Rogan	MN	Diagnostic Radiology Physician	$245K	$0
Eric Woolley	SD	Foot & Ankle Surgery Podiatrist	$238.4K	$0
Scott Torness	SD	Foot & Ankle Surgery Podiatrist	$211.2K	$0
Jessica Horn	SD	Family Medicine Physician	$198.3K	$0

Nearby Providers

Other providers in the same ZIP code as Prairie Lakes Health Care System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Service Agency	SD	Addiction (Substance Use Disorder) Counselor	$0	$39M
Brown Clinic Pllp	SD	Family Medicine Physician	$0	$3.1M
Thane Evans Crump Dds PC	SD	Endodontics	$0	$2.3M
Human Service Agency	SD	Case Management Agency	$0	$2.3M
Sanford Clinic	SD	Family Medicine Physician	$0	$2M
Prairie Lakes Home Connections	SD	Supports Brokerage Agency	$0	$1.2M
Big Stone Therapies Watertown, LLC	SD	Physical Therapy Clinic/Center	$0	$1.1M
City Of Watertown	SD	Land Ambulance	$475.4K	$390.4K
Bridgeway Counseling Center Inc.	SD	Psychologist	$0	$813.1K
Chad D. Beynon, O.d., P.C.	SD	Optometrist	$0	$630.8K

Prairie Lakes Health Care System Inc — Billing Profile & Reimbursement Data

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Prairie Lakes Health Care System 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