Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

NPI: 1306225222 · RAPID CITY, SD 57702 · Urgent Care Clinic/Center · NPI assigned 05/26/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PIERCE, JOHN controls 18+ related entities in our dataset. Read more

$315K
Total Medicaid Paid
10,217
Total Claims
8,902
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIERCE, JOHN (PRESIDENT MONUMENT HEALTH)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: PIERCE, JOHN

ProviderCityStateTotal Paid
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $11.54M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $5.17M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $1.56M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $1.29M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC RAPID CITY SD $996K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $588K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $252K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $162K
MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD $76K
MONUMENT HEALTH RAPID CITY HOSPITAL. INC. RAPID CITY SD $75K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $52K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $48K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $48K
MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD $29K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $20K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. WALL SD $4K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $2K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 265 $7K
2019 487 $11K
2020 833 $12K
2021 2,822 $71K
2022 1,932 $56K
2023 1,671 $56K
2024 2,207 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,954 3,351 $143K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,015 1,835 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 480 434 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 434 388 $26K
0240U 170 155 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 298 285 $13K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 104 100 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 317 281 $9K
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 109 103 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 320 134 $4K
36415 Collection of venous blood by venipuncture 437 390 $3K
0001A 69 69 $3K
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 112 105 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 207 176 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 60 50 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 13 $2K
0002A 49 49 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 171 153 $1K
0071A 37 33 $1K
71046 Radiologic examination, chest; 2 views 56 51 $1K
80053 Comprehensive metabolic panel 72 67 $707.52
0072A 18 18 $674.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 12 $362.67
81003 164 147 $312.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $172.61
91300 127 117 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 321 315 $0.00
91307 74 58 $0.00