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.

Edgewood Greenleaf Sioux Falls LLC (NPI 1992093389)

Field	Value
Entity Type	Organization
Organization	Edgewood Greenleaf Sioux Falls LLC
Address	3409 E. 5th St.
City	Sioux Falls
State	SD
ZIP	57103
Taxonomy	Assisted Living Facility
NPI Enumerated	July 19, 2011

Payer Source	Total Paid
Medicaid	$700K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	540	$1,310	$700K

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

Edgewood Greenleaf Sioux Falls LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	19	40	340	$1,090	$1.1M

Nearby Providers

Other providers in the same ZIP code as Edgewood Greenleaf Sioux Falls LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chris Dickes Dentistry Prof LLC	SD	General Practice Dentistry	$0	$4.3M
Recover Health Of Iowa, Inc.	SD	Home Health Agency	$0	$4M
Alpha Sigma Health Group, Inc.	SD	Home Health Agency	$0	$4M
Loyal In-home Care LLC	SD	In Home Supportive Care Agency	$0	$2.9M
Holden Health Group Inc.	SD	Secured Medical Transport (VAN)	$0	$1.5M
Gift Home Health Care LLC	SD	In Home Supportive Care Agency	$0	$1.3M
River Ridge Oral & Maxillofacial Surgical Center	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$755.3K
Revitalized Wellness PLLC	SD	Primary Care Clinic/Center	$0	$648.3K
Diversified Enterprises, Inc.	SD	Home Health Agency	$0	$301.9K
Freed Dental Prof. L.L.C.	SD	Dental Clinic/Center	$0	$250.1K

Edgewood Greenleaf Sioux Falls LLC — Billing Profile & Reimbursement Data

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Edgewood Greenleaf Sioux Falls LLC — Billing Profile & Reimbursement Data

Sign up for Edgewood Greenleaf Sioux Falls LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References