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.

Rapid City Emergency Services PA (NPI 1780621045)

Key Findings

Field	Value
Entity Type	Organization
Organization	Rapid City Emergency Services PA
Address	353 Fairmont Blvd
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

RAPID CITY EMERGENCY SERVICES PA reports no Medicare billing on file and $8.2M in lifetime Medicaid revenue, making its Medicaid business effectively the sole public-payer footprint visible in these claims data. The provider’s NPI was enumerated on 2006-06-02 (~20 years ago), indicating a long-tenured presence in the state Medicaid program.

Revenue is highly concentrated in three emergency-care codes: the precomputed top-3 Medicaid codes account for 85.6% of this provider’s total Medicaid revenue, driven by 99285 (43.5% of Medicaid revenue), 99284 (29.8%), and 99291 (12.4%). This concentration signals that a small set of high-acuity emergency and critical-care services produce the majority of Medicaid reimbursement.

The code mix and descriptions (99285, 99284, and 99291) indicate an operation centered on emergency department and critical care services: 99285 and 99284 are high- and moderate-level ED E/M visits, while 99291 is critical care for seriously ill patients. Together these codes and their high claim counts (e.g., 99285: 39.7K claims; 99284: 36.7K claims; 99291: 8.6K claims) point to continuous, high-volume ED throughput with frequent needs for intensive evaluation and time-sensitive critical care.

RAPID CITY EMERGENCY SERVICES is a dominant statewide provider for the top ED visit codes: 99285 ranks #1 of 41 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 99284 ranks #1 of 60 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rank positions indicate the practice is a major regional source of high-acuity Medicaid ED care compared with in-state peers.

While 99291 (critical care) contributes $1M (12.4% of Medicaid revenue) and ranks #2 of 8 providers in-state (86th percentile; typical, unremarkable volume for this code), its presence confirms the practice manages a nontrivial volume of critical-care encounters in addition to high-acuity ED visits. The combination of top-ranking ED E/M codes with a mid-ranked critical care code suggests broad coverage across emergent acuity levels rather than specialization only in short, low-acuity visits.

Several ancillary ED services also appear at elevated volumes relative to peers: 93010 (ECG interpretation) shows 20.2K claims for $80.9K revenue and ranks #2 of 47 in-state (98th percentile; extreme outlier, far above typical state volume for this code), supporting that routine ED diagnostics are performed frequently in conjunction with the high ED visit volumes. Additional procedural and imaging codes (e.g., wound repairs 12001/12011, CT and chest x-ray codes) appear but represent small shares of revenue, consistent with an ED-focused service line where evaluation/management drives reimbursement.

The payer mix is effectively single-payer at the claims level: there is no Medicare revenue on file while Medicaid revenue totals $8.2M, so any strategic or operational conclusions should be framed around Medicaid-driven demand and rates rather than dual-payer dynamics. This concentration increases exposure to Medicaid policy and rate changes affecting ED and critical-care E/M reimbursement.

Given the long-tenure NPI (~20 years) combined with extreme outlier rankings for core ED codes, the provider appears to operate as a high-throughput emergency services practice in Rapid City that captures a disproportionate share of in-state Medicaid ED volume for high-acuity visits. Analysts evaluating network capacity, reimbursement risk, or competitive positioning should treat this entity as a major Medicaid ED provider in South Dakota rather than a modest or occasional ED biller.

Medicaid: Complete Services Breakdown

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

93 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	39,730	$90	$3.5M
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.	36,720	$70	$2.4M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8,600	$120	$1M
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.	18,640	$50	$857.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20,220	$1	$80.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,540	$20	$38.1K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	520	$70	$36.5K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	280	$90	$24K
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…	860	$20	$18.1K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	240	$70	$16.7K

Showing 1–10 of 93

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

Rapid City Emergency Services PA — 5 of 25 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

93 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.	26	30	3,520	$50	$769.4K
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…	175	340	1,010	$100	$511K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	10	240	$140	$472K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	4	10	1,550	$190	$259.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	40	340	$90	$234.9K
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…	130	260	860	$80	$222.6K
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.	1	60	680	$60	$205.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	54	70	200	$80	$176.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16	70	400	$40	$172.5K
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.	2	70	1,150	$50	$155.9K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Management Systems, Inc.	SD	Community/Behavioral Health Agency	$0	$19.8M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Community Health Center Of The Black Hills Inc	SD	Federally Qualified Health Center (FQHC)	$0	$10.2M
Jrk Services, Inc	SD	Home Health Agency	$0	$10.1M
Black Hills Pediatrics, LLP	SD	Pediatrics Physician	$0	$9.7M
Wellspring Inc.	SD	Psychiatry Physician	$0	$7.4M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Radiology Associates Prof, LLC	SD	Diagnostic Radiology Physician	$0	$5.3M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M
City Of Rapid City	SD	Ambulance	$1.4M	$3.7M

Rapid City Emergency Services PA — Billing Profile & Reimbursement Data

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Rapid City Emergency Services PA — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Monument Health Rapid City Hospital, Inc	SD	Certified Registered Nurse Anesthetist	$0	$994.5K
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$165.7K
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$120.4K
Lauren Buyan	SD	Emergency Medicine Physician	$114.9K	$0
John Misdary	SD	Emergency Medicine Physician	$114K	$0
Alexander Brech	SD	Emergency Medicine Physician	$114K	$0
John Hill	SD	Emergency Medicine Physician	$113.3K	$0
Michael Frost	SD	Emergency Medicine Physician	$110.3K	$0