Clinic
Pine Ridge Indian Health Service Hospital
Pine Ridge Indian Health Service Hospital was paid $10.81M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
KYLE, SD 57752
KYLE, SD 57752
33aNPI1003963497assigned 01/05/2007
33bProvider typeClinic/Center
28Total paid$10.81M
24GClaims30,235
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#3 of 29
Median peer was paid$79K
This provider vs. median136×
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.
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 | 743 | $173K | |
| 2019 | 686 | $182K | |
| 2020 | 242 | $30K | |
| 2021 | 7,077 | $2.52M | |
| 2022 | 7,975 | $2.73M | |
| 2023 | 7,294 | $2.57M | |
| 2024incomplete | 6,218 | $2.60M |
Box 24 · Service lines
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 | 49% | 10,914 | 9,205 | $5.33M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 14% | 4,323 | 3,673 | $1.51M |
| 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 | 8.7% | 2,243 | 2,039 | $943K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 1,192 | 1,068 | $603K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.5% | 906 | 841 | $376K |
| W0037 | 2.1% | 6,992 | 6,992 | $223K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 385 | 311 | $220K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 326 | 320 | $211K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 431 | 333 | $201K |
| 0002A | 1.7% | 386 | 372 | $188K | |
| 0001A | 1.7% | 393 | 372 | $187K | |
| 0072A | 1.4% | 269 | 262 | $154K |
25 more codes
| 0071A | 1.0% | 202 | $111K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 181 | $107K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 153 | $95K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 162 | $87K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 56 | $39K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 192 | $35K |
| 0011A | <1% | 36 | $18K | |
| 0012A | <1% | 37 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | $16K |
| 0052A | <1% | 24 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $13K |
| 0004A | <1% | 32 | $10K | |
| 0051A | <1% | 16 | $10K | |
| 0081A | <1% | 14 | $9K | |
| 0054A | <1% | 14 | $8K | |
| 0082A | <1% | 13 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $4K |
| 0124A | <1% | 16 | $3K | |
| 98968 | <1% | 20 | $2K | |
| 98966 | <1% | 57 | $615.72 | |
| D0330 | Panoramic radiographic image | <1% | 38 | $427.00 |
| 99441 | <1% | 16 | $158.83 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 28 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 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 officialAKERS, RHONDA (HEALTH SYSTEM SPECIALIST)
Parent organizationPINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Pine Ridge Indian Health Service Hospital | Pine Ridge, SD | $37.28M |
| Pine Ridge Indian Health Service Hospital | Wanblee, SD | $4.58M |
| Pine Ridge Indian Health Service Hospital | Martin, SD | $862K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.