Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SD › Rapid City › NPI 1477523678
Physician

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.

33Billing provider infoBLACK HILLS ORTHOPEDIC & SPINE CENTER, INC.
RAPID CITY, SD 57702
33aNPI1477523678assigned 01/23/2006
28Total paid$1.71M
24GClaims53,570
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in South Dakota

Rank by total paid#1 of 8
Median peer was paid$13K
This provider vs. median134×

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 MORRISON, TONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20188,661$254K
20198,824$256K
20204,184$128K
20216,557$206K
20226,295$213K
20238,443$246K
2024incomplete10,606$405K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialMORRISON, TONY (VP, REVENUE CYCLE)
Same official

Other billing entities under MORRISON, TONY

Full network →
ProviderLocationPaid
Sanford Medical Center FargoFargo, ND$50.18M
Sanford Health of Northern MinnesotaBemidji, MN$47.45M
Sanford BismarckBismarck, ND$43.96M
Sanford Health of Northern MinnesotaBemidji, MN$27.11M
Sanford Medical CenterSioux Falls, SD$24.40M
FM Ambulance Service, INCFargo, ND$23.80M
Sanford Medical CenterSioux Falls, SD$18.03M
Sanford Health NetworkWorthington, MN$7.58M
Sanford ClinicSioux Falls, SD$6.04M
Sanford ClinicSioux Falls, SD$5.45M
Sanford Healthcare Accessories, LLCFargo, ND$4.79M
Sanford Health Network NorthThief River Falls, MN$3.28M
Sanford ClinicSioux Falls, SD$2.96M
Sanford Health NetworkJackson, MN$2.81M
Sanford ClinicWatertown, SD$2.02M
Sanford Health NetworkChamberlain, SD$1.47M
Sanford Health NetworkVermillion, SD$1.31M
Sanford Health NetworkLuverne, MN$1.27M
Sanford Medical Center FargoPelican Rapids, MN$1.01M
Sanford Medical Center FargoMahnomen, MN$994K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.