Physician
Rushmore Ob-Gyn PC
Rushmore Ob-Gyn PC was paid $65K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 53% of everything it billed.
33Billing provider infoRUSHMORE OB-GYN PC
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1316050214assigned 08/16/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$65K
24GClaims2,507
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in South Dakota
Rank by total paid#6 of 11
Median peer was paid$65K
This provider vs. median1.0×
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 | 41 | $187.33 | |
| 2019 | 155 | $971.89 | |
| 2020 | 159 | $836.78 | |
| 2021 | 693 | $10K | |
| 2022 | 406 | $37K | |
| 2023 | 679 | $12K | |
| 2024incomplete | 374 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 53% | 45 | 42 | $34K |
| 59025 | Fetal non-stress test | 11% | 312 | 153 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.1% | 60 | 58 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.7% | 98 | 84 | $5K |
| 36415 | Collection of venous blood by venipuncture | 7.0% | 1,298 | 972 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 83 | 54 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.2% | 38 | 25 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.2% | 15 | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 117 | 109 | $977.03 |
| W0037 | <1% | 194 | 194 | $582.00 | |
| 81003 | <1% | 201 | 173 | $423.25 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | 12 | $421.08 |
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 officialSCHMAGEL, PAMELA (PRESIDENT/OWNER)