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.

Dialysis Management Group LLC (NPI 1922318666)

Field	Value
Entity Type	Organization
Organization	Dialysis Management Group LLC
Address	Hcr 49
City	Porcupine
State	SD
ZIP	57772
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	October 15, 2010

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Key Findings

DIALYSIS MANAGEMENT GROUP LLC appears to be an ESRD-focused outpatient dialysis clinic based on its taxonomy and the top Medicaid codes billed; the dominant code is 90999 (general dialysis services), which alone accounts for $4M and 96.7% of the provider’s total Medicaid revenue, indicating the practice’s operations are heavily centered on delivering dialysis procedures rather than ancillary services.

Medicaid revenue is the only recorded public-payer activity for this provider: Total Medicaid revenue is $4.1M while there is no Medicare billing on file, so the entity is effectively single-payer in the public claims data and depends entirely on Medicaid for the reported $4.1M lifetime public revenue.

Revenue concentration is extreme within Medicaid: the precomputed top-three codes account for 100.0% of Medicaid revenue, with 90999 alone representing 96.7% and J0882 and A4657 composing the remaining share. This high concentration implies limited diversification of billable services within the public programs.

Competitive standing on core dialysis services is modest within the state: for 90999 the provider ranks #6 of 26 in-state and sits at the 80th percentile, described as typical and unremarkable volume for that code, so it is not a dominant statewide provider but maintains a solid mid-to-high position among peers.

Supportive drug and supply billing is minimal: J0882 (darbepoetin alfa) generates $135.2K (3.3% of Medicaid revenue) and ranks #5 of 6 in-state, indicating erythropoiesis-stimulating agent use is present but limited compared with dialysis procedure revenue. A4657 syringe supply billing is negligible ($1.6K, 0.0% of revenue) despite a #3 of 7 in-state rank, signaling supply charges are a very small component of the clinic’s Medicaid income.

Tenure in the NPI registry is long-standing: the provider has been enumerated since 2010-10-15 (~16 years ago), which suggests an established operational history in the community and potential stability in service delivery over time.

The statistical characterization of volumes aligns with routine provider behavior: the data labels 90999 volume as typical (unremarkable) for the state peer set, and J0882 and A4657 volumes are likewise described as typical, so there are no flagged outlier billing patterns in the available Medicaid measures.

Medicaid: Complete Services Breakdown

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

3 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.	22,600	$180	$4M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	420	$320	$135.2K
A4657	Syringe, with or without needle, each	1,570	$1	$1.6K

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

Dialysis Management Group LLC — 0 of 3 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

3 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.	6	30	3,520	$50	$769.4K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	5	10	680	$60	$75.7K
A4657	Syringe, with or without needle, each	3	10	1,260	$1	$920

Dialysis Management Group LLC — Billing Profile & Reimbursement Data

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Dialysis Management Group 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

Frequently Asked Questions

References