Clinic
Fall River Health Services
Fall River Health Services was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoFALL RIVER HEALTH SERVICES
HOT SPRINGS, SD 57747
HOT SPRINGS, SD 57747
33aNPI1043228810assigned 08/04/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.36M
24GClaims18,677
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#3 of 42
Median peer was paid$131K
This provider vs. median10×
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 MILLER, JOHN controls 20+ 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 | 2,897 | $211K | |
| 2019 | 3,204 | $241K | |
| 2020 | 1,491 | $125K | |
| 2021 | 2,530 | $199K | |
| 2022 | 3,097 | $229K | |
| 2023 | 2,745 | $152K | |
| 2024incomplete | 2,713 | $204K |
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 | 38% | 6,064 | 4,969 | $523K |
| 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 | 37% | 6,243 | 4,806 | $501K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.2% | 1,515 | 1,439 | $111K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.0% | 1,999 | 1,692 | $110K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.1% | 466 | 381 | $42K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.0% | 687 | 558 | $28K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 212 | 190 | $19K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 146 | 79 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 52 | 40 | $5K |
| W0037 | <1% | 1,204 | 1,204 | $4K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 47 | 44 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | 13 | $1K |
2 more codes
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 officialMILLER, JOHN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| BBH WBMC, LLC | Jasper, AL | $5.92M |
| Mill Creek Manor, LLC | Statesville, NC | $4.66M |
| Miller's Rental & Sales Company, INC. | Cleveland, OH | $4.21M |
| BBH SBMC, LLC | Alabaster, AL | $3.55M |
| Millers Rental & Sales Company INC | Akron, OH | $3.54M |
| BBH PBMC, LLC | Birmingham, AL | $3.12M |
| BBH CBMC, LLC | Talladega, AL | $2.85M |
| Miller's Rental & Sales Company, INC. | Canton, OH | $1.76M |
| Miller's Rental & Sales Company, INC. | Youngstown, OH | $1.55M |
| ST Elizabeth Adult Day Care Center, INC. | Arnold, MO | $1.41M |
| Columbia Falls Family Dental Center PC | Columbia Falls, MT | $1.20M |
| ST. Elizabeth Adult Day Care Center, INC. | Saint Louis, MO | $1.19M |
| Merrimack Dental Group | Lowell, MA | $1.01M |
| John A. Miller, DMD, LLC | Georgetown, SC | $918K |
| BBH BMC, LLC | Birmingham, AL | $805K |
| ST. Elizabeth Adult Day Care Center, INC. | Jennings, MO | $497K |
| Smile Montana Urgent Dental Center | Kalispell, MT | $353K |
| Fall River Health Services | Hot Springs, SD | $303K |
| ST Elizabeth Adult Day Care Center | Saint Louis, MO | $259K |
| John Anderson Miller | Murrells Inlet, SC | $196K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.