Black Hills Orthopedic & Spine Center, INC.
Black Hills Orthopedic & Spine Center, INC. was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
RAPID CITY, SD 57702
Next to other Orthopaedic Surgery Physician providers in South Dakota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,661 | $254K | |
| 2019 | 8,824 | $256K | |
| 2020 | 4,184 | $128K | |
| 2021 | 6,557 | $206K | |
| 2022 | 6,295 | $213K | |
| 2023 | 8,443 | $246K | |
| 2024incomplete | 10,606 | $405K |
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 | 19% | 9,368 | 8,145 | $323K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 5,025 | 4,728 | $311K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 9.4% | 8,346 | 3,152 | $161K |
| 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 | 6.5% | 1,241 | 1,162 | $110K |
| 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 | 6.4% | 2,281 | 2,097 | $110K |
| 20610 | 5.5% | 2,849 | 2,324 | $94K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 3,219 | 2,861 | $76K |
| 73110 | 4.2% | 3,093 | 2,221 | $73K | |
| 73610 | 2.1% | 1,627 | 1,365 | $35K | |
| 99243 | 2.0% | 351 | 341 | $33K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 763 | 721 | $32K |
| 73130 | 1.8% | 1,271 | 954 | $30K |
38 more codes
| 73630 | 1.7% | 1,535 | $29K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.6% | 1,271 | $27K |
| 97161 | 1.4% | 582 | $25K | |
| 73562 | 1.3% | 1,073 | $22K | |
| 95886 | 1.2% | 208 | $20K | |
| 73140 | 1.1% | 1,063 | $19K | |
| 72110 | 1.1% | 576 | $18K | |
| 73030 | 1.0% | 1,044 | $18K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,083 | $17K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 676 | $16K |
| 73564 | <1% | 664 | $15K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 45 | $12K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 248 | $9K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,569 | $9K |
| 73080 | <1% | 383 | $9K | |
| 73502 | <1% | 280 | $6K | |
| 29065 | <1% | 86 | $6K | |
| 29075 | <1% | 97 | $6K | |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 182 | $6K |
| 73560 | <1% | 273 | $5K | |
| 29085 | <1% | 68 | $4K | |
| 25600 | <1% | 14 | $3K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 204 | $3K |
| 97162 | <1% | 76 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 324 | $2K |
| 64483 | <1% | 15 | $2K | |
| 73590 | <1% | 77 | $2K | |
| Q4014 | Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass | <1% | 93 | $2K |
| 29105 | <1% | 13 | $871.35 | |
| 73100 | <1% | 35 | $842.79 | |
| 97014 | <1% | 101 | $798.08 | |
| 73090 | <1% | 33 | $745.58 | |
| 73070 | <1% | 33 | $685.89 | |
| 72050 | <1% | 16 | $475.44 | |
| 73552 | <1% | 15 | $341.54 | |
| 72100 | <1% | 17 | $335.63 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 16 | $189.45 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 48 | $142.14 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | $50.18M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $47.45M |
| Sanford Bismarck | Bismarck, ND | $43.96M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $27.11M |
| Sanford Medical Center | Sioux Falls, SD | $24.40M |
| FM Ambulance Service, INC | Fargo, ND | $23.80M |
| Sanford Medical Center | Sioux Falls, SD | $18.03M |
| Sanford Health Network | Worthington, MN | $7.58M |
| Sanford Clinic | Sioux Falls, SD | $6.04M |
| Sanford Clinic | Sioux Falls, SD | $5.45M |
| Sanford Healthcare Accessories, LLC | Fargo, ND | $4.79M |
| Sanford Health Network North | Thief River Falls, MN | $3.28M |
| Sanford Clinic | Sioux Falls, SD | $2.96M |
| Sanford Health Network | Jackson, MN | $2.81M |
| Sanford Clinic | Watertown, SD | $2.02M |
| Sanford Health Network | Chamberlain, SD | $1.47M |
| Sanford Health Network | Vermillion, SD | $1.31M |
| Sanford Health Network | Luverne, MN | $1.27M |
| Sanford Medical Center Fargo | Pelican Rapids, MN | $1.01M |
| Sanford Medical Center Fargo | Mahnomen, MN | $994K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.