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.

Modern Day Health Care Prof LLC (NPI 1851883540)

Field	Value
Entity Type	Organization
Organization	Modern Day Health Care Prof LLC
Address	1409 6th Ave Se Ste 1
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 30, 2018

Payer Source	Total Paid
Medicaid	$36.6K
Medicare	$0

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
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…	300	$80	$22.6K
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…	200	$50	$9.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	350	$10	$2.8K
99203	The provider sees a new 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 provider…	10	$80	$1.2K
W0037	N/A	140	$1	$420

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

Modern Day Health Care Prof LLC — 0 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
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…	249	340	1,010	$100	$511K
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…	175	260	860	$80	$222.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	37	60	640	$20	$72K
99203	The provider sees a new 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 provider…	95	100	160	$60	$64.4K
W0037	N/A	141	160	690	$20	$50.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Modern Day Health Care Prof LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Advanced Practice Network, P.C.	SD	Nurse Practitioner	$0	$403.2K
Cacey Schmidt	SD	Family Nurse Practitioner	$38.2K	$0
Maura Doran-snyder	CO	Family Medicine Physician	$33K	$0
Jennifer Gustafson	SD	Occupational Therapist	$29.3K	$0
Janet Masters	AZ	Nurse Practitioner	$22.7K	$0
Stefanie Robinson	SD	Acute Care Nurse Practitioner	$19.5K	$0
Holly Gisi-york	MN	Nurse Practitioner	$15.9K	$0
Heidi Barber	SD	Nurse Practitioner	$12K	$0
Tammy Vande Kamp	SD	Psychiatric/Mental Health Nurse Practitioner	$10.1K	$0
Maureen Higgins	PA	Family Nurse Practitioner	$9.9K	$0

Modern Day Health Care Prof LLC — Billing Profile & Reimbursement Data

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Modern Day Health Care Prof LLC — Billing Profile & Reimbursement Data

Sign up for Modern Day Health Care Prof LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References