South Dakota Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
South Dakota has 4K Medicare providers who collectively received $235.7M in Medicare payments, averaging $54K per provider. With below-average per-provider Medicare revenue, South Dakota practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 751 providers, followed by Physician Assistant (443) and Family Practice (345). Nurse Practitioner providers in South Dakota average $15K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Sioux Falls (1,809 providers), with Rapid City and Aberdeen also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
4K
in South Dakota
Total Medicare Payment
$235.7M
Avg Payment / Provider
$54K
Total Services
6.0M
South Dakota Performance Signals
Revenue per Provider
$54,379
-31.8% vs benchmark · national avg $79,744
Provider Market Share
0.4% of US
-81.6% vs benchmark · 4,334 providers
CCM Adoption
0.4%
-96.1% vs benchmark · national 11.3%
RPM Adoption
0.1%
-98.2% vs benchmark · national 6.5%
AWV Completion
5.7%
-67.2% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How South Dakota Compares
vs Neighboring States
Top Revenue Opportunities in South Dakota
Chronic Care Management (99490)
Only 0.4% of providers bill CCM vs 11.3% national average. 469 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.1% vs 6.5% nationally. 275 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 5.7% trails the 17.5% national average. 509 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in South Dakota
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 751 | $15K |
| Physician Assistant | 443 | $23K |
| Family Practice | 345 | $38K |
| Chiropractic | 317 | $13K |
| Physical Therapist in Private Practice | 287 | $34K |
| Certified Registered Nurse Anesthetist (CRNA) | 280 | $9K |
| Optometry | 184 | $35K |
| Internal Medicine | 150 | $63K |
| Mass Immunizer Roster Biller | 100 | $77K |
| Ambulance Service Provider | 97 | $161K |
| Orthopedic Surgery | 90 | $96K |
| Emergency Medicine | 88 | $42K |
| Diagnostic Radiology | 80 | $105K |
| Anesthesiology | 74 | $36K |
| Hospitalist | 69 | $51K |
| General Surgery | 66 | $32K |
| Psychiatry | 49 | $24K |
| Licensed Clinical Social Worker | 47 | $14K |
| Neurology | 45 | $60K |
| Ophthalmology | 43 | $729K |
Top Cities in South Dakota
Sioux Falls
Rapid City
Aberdeen
Dakota Dunes
Watertown
Yankton
Spearfish
Brookings
Mitchell
Pierre
Huron
Vermillion
Madison
Sisseton
Chamberlain
Sturgis
Winner
Brandon
Belle Fourche
Mobridge
Hot Springs
Milbank
Rosebud
Canton
Wagner
Gregory
Custer
Platte
Howard
Miller
Top 50 Providers in South Dakota
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