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.

City Of Brookings (NPI 1932281029)

City Of Brookings is a anesthesiology physician provider located in Brookings, South Dakota. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	City Of Brookings
Address	300 22nd Ave
City	Brookings
State	SD
ZIP	57006
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$551.5K
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,860	$50	$233.3K
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.	1,930	$80	$148.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,610	$30	$93.8K
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.	540	$120	$64.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	460	$10	$2.3K
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…	70	$30	$2.1K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	240	$10	$1.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$110	$1.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	10	$110	$1.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	20	$70	$1.2K

Showing 1–10 of 12

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

City Of Brookings — 0 of 12 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

12 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…	281	340	1,010	$100	$511K
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.	19	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…	255	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.	22	60	680	$60	$205.7K
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.	11	70	1,150	$50	$155.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	41	40	160	$90	$116.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	123	130	390	$90	$86.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	98	110	180	$110	$72.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5	40	550	$40	$50.2K
99281	The provider sees a patient for the lowest level emergency department visit.	11	20	160	$60	$33.2K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Brookings	SD	Multi-Specialty Clinic/Center	$0	$1.2M
City Of Brookings	SD	General Acute Care Hospital	$0	$548.5K
Shelby Eischens	SD	Family Medicine Physician	$179.9K	$0
Matthew Pardy	SD	Diagnostic Radiology Physician	$135K	$0
Kenneth Knudtson	SD	Ophthalmology Physician	$124.5K	$0
Sophie Two Hawk	SD	Internal Medicine Physician	$124K	$0
Jennifer Williamson	SD	Internal Medicine Physician	$121.9K	$0
Daniel Crosby	SD	Diagnostic Radiology Physician	$114.8K	$0
Bradley Paulson	SD	Diagnostic Radiology Physician	$114.2K	$0
Suzanne Woodward	SD	Diagnostic Radiology Physician	$114.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance	SD	Case Management Agency	$0	$32.7M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.1M
East Central Mental Health & Chemical Dependency Center	SD	Community/Behavioral Health Agency	$0	$1.6M
Sanford Clinic	SD	Family Medicine Physician	$0	$606.7K
Brookings Family Dentistry, LLC	SD	Dental Clinic/Center	$0	$347.9K
Hy-vee Inc	SD	Community/Retail Pharmacy	$227.1K	$19.1K
Brookings Area Transit Authority Inc	SD	Bus	$0	$237.7K
Tasha J. Jones, O.d. P.C	SD	Optometrist	$0	$140.2K
Brookings Counseling Solutions LLC	SD	Mental Health Counselor	$0	$122.8K
Sanford Medical Center	SD	Community/Retail Pharmacy	$111K	$0

City Of Brookings — Billing Profile & Reimbursement Data

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City Of Brookings — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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