Monument Health Rapid City Hospital, INC.
Monument Health Rapid City Hospital, INC. was paid $588K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
RAPID CITY, SD 57701
Next to other Multi-Specialty Clinic/Center 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 | 2,897 | $95K | |
| 2019 | 955 | $29K | |
| 2020 | 723 | $26K | |
| 2021 | 1,570 | $60K | |
| 2022 | 2,322 | $89K | |
| 2023 | 3,053 | $135K | |
| 2024incomplete | 2,817 | $154K |
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 | 20% | 4,224 | 3,830 | $119K |
| 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 | 20% | 2,484 | 2,243 | $118K |
| 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% | 2,078 | 1,846 | $107K |
| 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 | 17% | 1,225 | 1,109 | $99K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 1,339 | 545 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.9% | 389 | 354 | $29K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.2% | 346 | 210 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 495 | 455 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.5% | 360 | 155 | $9K |
| 11102 | 1.4% | 147 | 133 | $8K | |
| 52000 | 1.4% | 102 | 88 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 112 | 86 | $6K |
10 more codes
| 99221 | <1% | 104 | $5K | |
| 73630 | <1% | 137 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | $2K |
| 99254 | <1% | 20 | $2K | |
| 81001 | <1% | 528 | $1K | |
| 51798 | <1% | 120 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 21 | $704.72 |
| 11900 | <1% | 14 | $620.40 | |
| 97803 | <1% | 12 | $224.43 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $36.90 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.