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.

Stanley Gallagher (NPI 1831125657)

Field	Value
Entity Type	Individual
Organization	Stanley Gallagher
Address	205 Orchard Dr
City	Sisseton
State	SD
ZIP	57262
Taxonomy	Family Medicine Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$18.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70	$60	$4.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	80	$40	$2.9K
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…	50	$60	$2.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$90	$2.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	$60	$2.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$90	$1.3K
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…	10	$100	$1.2K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	30	$40	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Stanley Gallagher — 0 of 8 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. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,626	1,660	90	$70	$11.4K
99232	298	570	80	$60	$9.2K
99213	1,122	1,710	80	$50	$6.4K
99239	195	220	50	$90	$5.4K
99222	181	450	30	$90	$3.5K
99231	58	250	40	$40	$2.1K
99238	39	180	20	$60	$1.9K
G0180	4	20	20	$40	$870

Related Providers

Other providers that share a Tax Identification Number (TIN) with Stanley Gallagher, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coteau Des Prairies Hospital	SD	Rural Health Clinic/Center	$0	$2.9M
Coteau Des Prairies Hospital	SD	Critical Access Hospital	$0	$2.3M
Coteau Des Prairies Hospital	SD	Multi-Specialty Clinic/Center	$0	$438.4K
Gerald Rieber	SD	Orthopaedic Surgery Physician	$76.3K	$0

Nearby Providers

Other providers in the same ZIP code as Stanley Gallagher, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodrow Wilson Keeble Memorial Health Care Center	SD	Clinic/Center	$0	$6.8M
Royce Grimsrud	SD	Optometrist	$17.1K	$519.9K
Community Transit, Inc	SD	Non-emergency Medical Transport (VAN)	$0	$215.5K
Sisseton School District 54 2	SD	Occupational Therapist	$0	$82.6K
John Weber Dds PLLC	SD	General Practice Dentistry	$0	$50.6K
Chukwuemeka Ekeke	SD	General Practice Physician	$2.8K	$39.8K
Jasmine Hypolite	SD	Psychiatric/Mental Health Nurse Practitioner	$22.1K	$0
Jennifer Hanson	SD	Nurse Practitioner	$8.9K	$0

Stanley Gallagher — Billing Profile & Reimbursement Data

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Stanley Gallagher — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References