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.

Black Hills Dialysis, LLC (NPI 1710087713)

Field	Value
Entity Type	Organization
Organization	Black Hills Dialysis, LLC
Address	100 Dialysis Drive
City	Pine Ridge
State	SD
ZIP	57770
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Key Findings

BLACK HILLS DIALYSIS, LLC is operating as an End-Stage Renal Disease (ESRD) dialysis clinic, as reflected by its dominant use of dialysis-related codes such as 90999 (unspecified dialysis services), J0882 (darbepoetin alfa for ESRD on dialysis), and Q4081 (epoetin alfa for ESRD on dialysis). The code mix indicates the facility provides routine hemodialysis services plus in-clinic injectable anemia management consistent with comprehensive dialysis center care.

This provider has no Medicare billing on file and its entire recorded inpatient/outpatient revenue footprint is Medicaid-only, with total Medicaid revenue of $5.3M. In practical terms, BLACK HILLS DIALYSIS is effectively a single-payer (Medicaid) biller in the available dataset rather than a mixed Medicare/Medicaid operator.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 99.9% of this provider’s total Medicaid revenue, demonstrating that almost all Medicaid receipts derive from dialysis services and associated injectable drugs rather than a broad mix of ancillary services.

Code 90999 alone accounts for $5.1M of Medicaid revenue (96.3% of the provider’s Medicaid total) and 31.5K claims, indicating that standard dialysis sessions are the primary revenue driver for the site. The provider ranks #4 of 26 in-state for 90999 (88th percentile), which places it as a solid, typical-volume dialysis center in South Dakota rather than an outlier with unusually high or low session volume.

For anemia management drugs, the provider reported 620 claims for J0882 with $161.8K revenue (3.1% of Medicaid revenue) and about 1K claims for Q4081 with $31.2K revenue (0.6% of Medicaid revenue). J0882 ranks #4 of 6 in-state (40th percentile) and Q4081 ranks #2 of 5 (75th percentile), suggesting modest participation in erythropoiesis-stimulating therapies relative to other in-state dialysis providers but still offering these medications as part of routine dialysis care.

One non-service supply code, A4657 (syringe, each), appears with 3.9K claims and $3.9K revenue (0.1% of Medicaid revenue) and is noted as ranking #1 of 7 in-state with a label of notably above typical state volume. This suggests the facility bills syringes at a higher volume than peers, likely reflecting per-session consumable supply billing practices rather than a major revenue stream.

The provider’s NPI was enumerated on 2006-09-22 (~20 years ago), indicating long tenure in the market. The sustained Medicaid billing presence over time is consistent with an established local dialysis provider rather than a recent entrant.

Overall competitive standing in-state is that BLACK HILLS DIALYSIS is a steady, typical-volume dialysis center: it is not the dominant statewide player for dialysis sessions (rank #4 of 26) but it maintains a reliable Medicaid revenue base concentrated in core dialysis services and routine injectable drugs, with one supply code flagged as notably above typical volume among peers.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	31,470	$160	$5.1M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	620	$260	$161.8K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1,010	$30	$31.2K
A4657	Syringe, with or without needle, each	3,930	$1	$3.9K
J2501	Injection, paricalcitol, 1 mcg	350	$1	$350

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

Black Hills Dialysis, LLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4	30	3,520	$50	$769.4K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	4	10	680	$60	$75.7K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	2	10	330	$40	$28.5K
J2501	Injection, paricalcitol, 1 mcg	4	10	7,430	$1	$4K
A4657	Syringe, with or without needle, each	1	10	1,260	$1	$920

Related Providers

Other providers that share a Tax Identification Number (TIN) with Black Hills Dialysis, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blackhills Dialysis, L.L.C.	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.6M

Nearby Providers

Other providers in the same ZIP code as Black Hills Dialysis, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pine Ridge Indian Health Service Hospital	SD	General Acute Care Hospital	$186.4K	$37.3M
Apollo Medflight, LLC	SD	Air Ambulance	$748.6K	$1.5M
Winckler Vision Center, Inc.	SD	Optometrist	$0	$2.2M
Ost Ambulance Service	SD	Ambulance	$0	$1.8M
Joyce Achenjang	SD	Internal Medicine Physician	$68K	$0

Black Hills Dialysis, LLC — Billing Profile & Reimbursement Data

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Black Hills Dialysis, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References