Clinic
Monument Health Rapid City Hospital, INC.
Monument Health Rapid City Hospital, INC. was paid $5.17M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoMONUMENT HEALTH RAPID CITY HOSPITAL, INC.
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1821477746assigned 05/26/2015
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$5.17M
24GClaims141,224
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in South Dakota
Rank by total paid#1 of 24
Median peer was paid$251K
This provider vs. median21×
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 | 13,151 | $510K | |
| 2019 | 16,942 | $632K | |
| 2020 | 12,905 | $493K | |
| 2021 | 21,496 | $816K | |
| 2022 | 21,939 | $775K | |
| 2023 | 25,015 | $813K | |
| 2024incomplete | 29,776 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 21,356 | 18,500 | $922K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 18,782 | 4,367 | $739K |
| 90961 | 12% | 6,448 | 6,039 | $633K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 9.5% | 4,782 | 4,552 | $489K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 4,340 | 4,002 | $337K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 9,886 | 8,726 | $326K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.6% | 4,841 | 1,754 | $187K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.5% | 6,755 | 1,453 | $179K |
| W0037 | 3.4% | 5,221 | 5,221 | $173K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 2,921 | 1,683 | $160K |
| 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 | 3.0% | 2,047 | 1,862 | $156K |
| 99254 | 2.7% | 997 | 860 | $141K |
84 more codes
| 90962 | 2.2% | 1,617 | $114K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.4% | 3,095 | $71K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.0% | 3,409 | $52K |
| 99205 | Prolong outpt/office vis | <1% | 456 | $51K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,122 | $49K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,273 | $49K |
| 80053 | Comprehensive metabolic panel | <1% | 4,730 | $46K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,678 | $34K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,646 | $32K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 380 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,944 | $20K |
| 80061 | Lipid panel | <1% | 1,568 | $19K |
| 95251 | <1% | 590 | $13K | |
| 84439 | <1% | 1,718 | $13K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 658 | $12K |
| 97803 | <1% | 214 | $7K | |
| 90686 | <1% | 750 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 374 | $6K |
| 82728 | <1% | 498 | $6K | |
| 0001A | <1% | 136 | $5K | |
| 82570 | <1% | 925 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 83 | $4K |
| 0002A | <1% | 120 | $4K | |
| 98967 | <1% | 195 | $4K | |
| 81001 | <1% | 1,301 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | $4K |
| 83735 | <1% | 578 | $4K | |
| 83550 | <1% | 505 | $3K | |
| 91322 | <1% | 29 | $3K | |
| 86140 | <1% | 741 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 146 | $3K |
| 99442 | <1% | 206 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 110 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | $3K |
| 82043 | <1% | 538 | $3K | |
| 83540 | <1% | 532 | $3K | |
| 99253 | <1% | 29 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 21 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 265 | $2K |
| 82947 | <1% | 709 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 37 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 264 | $2K |
| 77080 | <1% | 113 | $2K | |
| 90656 | <1% | 155 | $2K | |
| 94729 | <1% | 85 | $2K | |
| 90677 | <1% | 14 | $2K | |
| 80069 | <1% | 209 | $2K | |
| 0352U | <1% | 13 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 523 | $2K |
| 36416 | <1% | 634 | $1K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 37 | $1K |
| 99443 | <1% | 64 | $1K | |
| 82962 | <1% | 410 | $999.98 | |
| 94010 | <1% | 83 | $917.30 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 21 | $736.89 |
| 98968 | <1% | 15 | $566.50 | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $559.16 |
| 90480 | <1% | 34 | $529.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $502.88 |
| 0124A | <1% | 14 | $495.74 | |
| 94060 | <1% | 37 | $472.04 | |
| 94726 | <1% | 25 | $471.43 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $380.65 |
| 98966 | <1% | 29 | $372.51 | |
| 85652 | <1% | 155 | $361.80 | |
| 84156 | <1% | 107 | $331.17 | |
| 0081A | <1% | 14 | $247.87 | |
| 90715 | <1% | 16 | $232.50 | |
| 85027 | <1% | 32 | $182.43 | |
| 84100 | <1% | 28 | $118.50 | |
| 84550 | <1% | 16 | $72.32 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $71.19 |
| 81003 | <1% | 25 | $54.00 | |
| 77092 | <1% | 25 | $47.74 | |
| 85018 | <1% | 15 | $26.07 | |
| 90651 | 0% | 33 | $0.00 | |
| 91305 | 0% | 32 | $0.00 | |
| 3066F | 0% | 120 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 19 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| 91308 | 0% | 31 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 91300 | 0% | 274 | $0.00 | |
| 91312 | 0% | 14 | $0.00 |
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.