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NPI 1669508677 · Rapid City, SD · Federally Qualified Health Center (FQHC)
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Community Health Center Of The Black Hills Inc is a federally qualified health center (fqhc) provider located in Rapid City, South Dakota. This profile covers 0 Medicare and 124 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Health Center Of The Black Hills Inc |
| Address | 350 Pine St |
| City | Rapid City |
| State | SD |
| ZIP | 57701 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | February 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.2M |
| Medicare | $0 |
This entity is effectively a Medicaid-focused Federally Qualified Health Center: there is no Medicare billing on file while total Medicaid revenue is $10.2M, indicating the organization’s patient-facing activity and reimbursement base are concentrated in Medicaid. The provider’s taxonomy is Federally Qualified Health Center (FQHC), which aligns with the high Medicaid dependence shown in the claims data.
The provider has an established operating history: the NPI was enumerated on 2007-02-26 (~19 years ago), signaling a long-standing presence in the Rapid City market that supports sustained payer relationships and programmatic continuity. This tenure is consistent with the breadth of services observed across primary care, preventive, dental, and ancillary codes.
Medicaid revenue is highly concentrated in a small set of outpatient E/M and immunization codes: the precomputed top 3 Medicaid codes account for 64.4% of the provider’s total Medicaid revenue, driven by 99213 ($4.1M, 41.7%), 99214 ($1.5M, 15.9%), and 90471 ($657.6K, 6.8%). This concentration indicates financial reliance on routine established-patient office visits and high-volume vaccine administration.
The code mix and volumes are consistent with a broad primary-care and preventive-services operation: high counts for 99213 (32.9K claims) and 99214 (14.8K claims) plus multiple preventive medicine codes for children and adolescents (99392, 99391, 99393, 99394) and substantial vaccine administration (90471 and 90472) point to integrated adult and pediatric primary care with active immunization delivery. The presence of dental codes (D1110, D0150) and lab/specimen codes (99000, 36415) also suggests on-site or closely coordinated ancillary services typical of an FQHC.
Competitive standing within South Dakota shows strong volume for key primary-care codes: 99213 ranks #7 of 344 providers in-state (98th percentile) and is described as notably above typical state volume, while 99214 ranks #11 of 260 providers in-state (96th percentile) and is characterized in the source as typical, unremarkable volume. The combination of a very high rank for 99213 and meaningful rank for 99214 indicates the center is a major statewide provider of routine established-patient visits.
Immunization activity is a clear operational focus: 90471 has 11.5K claims ($57 avg paid/claim) generating $657.6K (6.8% of Medicaid revenue) and ranks #5 of 159 providers in-state (97th percentile; notably above typical state volume), while 90472 has 6.5K claims and $117.5K revenue (1.2%) and ranks #5 of 70 (94th percentile; notably above typical state volume). These data support that vaccine administration is a high-throughput service line and a material component of the revenue mix.
Certain high-claim, lower-unit-value codes point to operational scale and workflow intensity: W0037 shows 15.6K claims and $233.8K revenue (2.4%) and ranks #4 of 164 (98th percentile; notably above typical state volume), while 99000 has 4.5K claims and $94.2K revenue (1.0%) and ranks #2 of 15 (93th percentile; notably above typical state volume). The combination of these high-claim codes with low average paid/claim suggests substantial throughput for administrative, specimen-prep, or programmatic services that support clinical encounters.
The provider offers some clinically specialized and behavioral services beyond core E/M: 82962 blood glucose monitoring (3.1K claims, $100.8K revenue; ranks #1 of 2 providers in-state, 100th percentile) and 90837 psychotherapy (906 claims, $118.7K revenue; ranks #73 of 185, 61th percentile). While these lines are smaller contributors to total revenue, the top-state rank for 82962 and measurable psychotherapy volume indicate ancillary chronic disease management and behavioral-health capacity within the FQHC model.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
124 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 32,930 | $120 | $4.1M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 14,800 | $100 | $1.5M |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 11,540 | $60 | $657.6K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 2,910 | $140 | $415.4K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 2,690 | $140 | $368K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 2,570 | $140 | $365.2K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 2,130 | $140 | $287.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 2,020 | $130 | $258K |
| W0037 | N/A | 15,590 | $20 | $233.8K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 1,810 | $130 | $225.6K |
Showing 1–10 of 124
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
124 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 7 | 340 | 1,010 | $100 | $511K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 11 | 260 | 860 | $80 | $222.6K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 11 | 40 | 1,100 | $80 | $181.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 11 | 60 | 120 | $210 | $171.2K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 73 | 190 | 430 | $90 | $154.1K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 24 | 40 | 260 | $90 | $151.5K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 7 | 20 | 30 | $90 | $144.2K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 6 | 50 | 410 | $80 | $127.2K |
| D2391 | Resin‑based composite – one surface, posterior | 13 | 40 | 150 | $80 | $115.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 17 | 70 | 130 | $100 | $99K |
Showing 1–10 of 124
Other providers in the same ZIP code as Community Health Center Of The Black Hills Inc, ranked by combined Medicare and Medicaid revenue.
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