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PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
NPI: 1003208257
· MARTIN, SD 57551
· Federal Public Health Clinic/Center
· NPI assigned 02/25/2015
$862K
Total Medicaid Paid
Provider Details
| Authorized Official | AKERS, RHONDA (HEALTH SYSTEM SPECIALIST) |
| Parent Organization | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| NPI Enumeration Date | 02/25/2015 |
Related Entities
Other providers sharing the same authorized official: AKERS, RHONDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
555 |
$193K |
| 2022 |
491 |
$215K |
| 2023 |
691 |
$262K |
| 2024 |
347 |
$191K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
909 |
$487K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
522 |
462 |
$233K |
| 0002A |
|
112 |
111 |
$50K |
| 0001A |
|
76 |
76 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
43 |
$28K |
| 0072A |
|
39 |
34 |
$21K |
| 0012A |
|
16 |
15 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
39 |
$5K |
| 91300 |
|
42 |
41 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
47 |
44 |
$0.00 |
| 91307 |
|
19 |
19 |
$0.00 |