Clinic
Monument Health Rapid City Hospital, INC.
Monument Health Rapid City Hospital, INC. was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMONUMENT HEALTH RAPID CITY HOSPITAL, INC.
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1124407044assigned 05/26/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.29M
24GClaims39,258
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Dakota
Rank by total paid#2 of 6
Median peer was paid$400K
This provider vs. median3.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PIERCE, JOHN controls 18+ related entities in our dataset. Read more
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 | 2,556 | $57K | |
| 2019 | 3,611 | $86K | |
| 2020 | 2,471 | $53K | |
| 2021 | 4,234 | $131K | |
| 2022 | 7,820 | $216K | |
| 2023 | 8,560 | $307K | |
| 2024incomplete | 10,006 | $442K |
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 | 42% | 14,954 | 12,350 | $541K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 2,440 | 2,136 | $157K |
| 0240U | 8.7% | 986 | 960 | $112K | |
| 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 | 8.1% | 1,717 | 1,504 | $104K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.0% | 688 | 662 | $78K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.6% | 1,489 | 1,341 | $46K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.4% | 1,020 | 965 | $43K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 1,226 | 1,014 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,573 | 705 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 925 | 814 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,586 | 1,327 | $19K |
| 0352U | 1.2% | 214 | 126 | $16K |
18 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 159 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,660 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,744 | $12K |
| 80053 | Comprehensive metabolic panel | <1% | 1,143 | $10K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 592 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,015 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 170 | $9K |
| 81003 | <1% | 1,747 | $3K | |
| 81025 | <1% | 432 | $3K | |
| 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% | 62 | $3K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 311 | $1K |
| 87420 | <1% | 99 | $1K | |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 62 | $925.00 |
| 74019 | <1% | 16 | $262.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $185.43 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 28 | $137.66 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 139 | $101.24 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 44 | $30.34 |
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 officialPIERCE, JOHN (PRESIDENT MONUMENT HEALTH)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.