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.

Medicine Wheel Village (NPI 1699159236)

Field	Value
Entity Type	Organization
Organization	Medicine Wheel Village
Address	24266 Airport Rd
City	Eagle Butte
State	SD
ZIP	57625
Taxonomy	Assisted Living Facility
NPI Enumerated	July 14, 2015

Payer Source	Total Paid
Medicaid	$119.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	150	$820	$119.7K
T2016	Habilitation, residential, waiver; per diem	20	$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

Medicine Wheel Village — 0 of 1 code 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	21	20	6,880	$1,660	$31.6M
T2031	Assisted living; waiver, per diem	28	40	340	$1,090	$1.1M

Nearby Providers

Other providers in the same ZIP code as Medicine Wheel Village, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eagle Butte Indian Health Service Hospital	SD	Public Health or Welfare Agency	$0	$19.2M
Cheyenne River Sioux Tribe Field Health Clinic	SD	Primary Care Clinic/Center	$0	$8M
Blackhills Dialysis, L.L.C.	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.6M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.3M
Missouri Breaks Industries Research, Inc.	SD	Durable Medical Equipment & Medical Supplies	$0	$2M
Cheyenne River Dental Clinic	SD	Public Health Dentistry	$0	$1.6M
Margaret Upell	SD	Family Medicine Physician	$21.2K	$377.7K
Jaime Aguilar	SD	Physician Assistant	$8K	$0

Medicine Wheel Village — Billing Profile & Reimbursement Data

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Medicine Wheel Village — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References