Clinic
Rushmore Ambulatory Surgery Center
Rushmore Ambulatory Surgery Center was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 53% of everything it billed.
33Billing provider infoRUSHMORE AMBULATORY SURGERY CENTER
RAPID CITY, SD 57702
RAPID CITY, SD 57702
33aNPI1013968718assigned 05/15/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$4.62M
24GClaims12,938
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in South Dakota
Rank by total paid#1 of 8
Median peer was paid$23K
This provider vs. median203×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,530 | $764K | |
| 2019 | 2,556 | $795K | |
| 2020 | 1,122 | $353K | |
| 2021 | 1,795 | $569K | |
| 2022 | 1,602 | $505K | |
| 2023 | 1,530 | $434K | |
| 2024incomplete | 1,803 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 53% | 5,429 | 5,273 | $2.43M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 24% | 6,513 | 6,192 | $1.13M |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 23% | 996 | 920 | $1.06M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJOBMAN, KELLI (CEO)