Clinic
Black Hills Surgical Hospital, LLC
Black Hills Surgical Hospital, LLC was paid $701K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoBLACK HILLS SURGICAL HOSPITAL, LLC
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1124385554assigned 04/23/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$701K
24GClaims22,053
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Dakota
Rank by total paid#3 of 6
Median peer was paid$400K
This provider vs. median1.8×
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 | 4,253 | $91K | |
| 2019 | 4,922 | $134K | |
| 2020 | 2,929 | $88K | |
| 2021 | 2,972 | $135K | |
| 2022 | 2,642 | $102K | |
| 2023 | 2,633 | $78K | |
| 2024incomplete | 1,702 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 6,618 | 5,353 | $205K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 3,230 | 2,843 | $186K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 2,574 | 2,055 | $101K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.7% | 451 | 409 | $54K |
| 0240U | 4.7% | 386 | 353 | $33K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 563 | 497 | $25K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 255 | 227 | $24K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.4% | 831 | 741 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 599 | 283 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 115 | 105 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,745 | 1,388 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 151 | 146 | $5K |
12 more codes
| 87631 | <1% | 38 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 389 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,228 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 202 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 760 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 92 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 27 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | $702.90 |
| 81003 | <1% | 540 | $609.22 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $393.70 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 84 | $328.87 |
| 87081 | <1% | 30 | $148.37 |
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 officialKONST, LORI (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Black Hills Surgical Hospital, LLP | Rapid City, SD | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.