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 Special Services (NPI 1740326214)

Field	Value
Entity Type	Organization
Organization	Black Hills Special Services
Address	870 Main St
City	Deadwood
State	SD
ZIP	57732
Taxonomy	Case Management Agency
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$500.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	5,830	$70	$431.3K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	500	$140	$68.9K

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 Special Services — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	21	40	6,470	$50	$708.1K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	5	30	340	$140	$53.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$357.7K
Deadwood Eye Care LLC	SD	Optometrist	$0	$190.9K
Lennard Hopper, D.d.s., P.C.	SD	General Practice Dentistry	$0	$173.6K
Elizabeth Sayler	SD	Internal Medicine Physician	$6.1K	$0
Jocelyn Bergh	SD	Physician Assistant	$4.5K	$0

Black Hills Special Services — Billing Profile & Reimbursement Data

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Black Hills Special Services — Billing Profile & Reimbursement Data

Sign up for Black Hills Special Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References