Physician
Upell, Margaret
Upell, Margaret was paid $381K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoUPELL, MARGARET
EAGLE BUTTE, SD 57625
EAGLE BUTTE, SD 57625
33aNPI1043284714assigned 02/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$381K
24GClaims13,385
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#12 of 40
Median peer was paid$144K
This provider vs. median2.7×
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 | 2,984 | $78K | |
| 2019 | 2,467 | $69K | |
| 2020 | 957 | $27K | |
| 2021 | 1,151 | $33K | |
| 2022 | 1,307 | $46K | |
| 2023 | 2,327 | $58K | |
| 2024incomplete | 2,192 | $69K |
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 | 68% | 5,973 | 4,715 | $259K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 1,173 | 957 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 212 | 201 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 1,611 | 1,411 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 665 | 588 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.5% | 368 | 334 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 162 | 149 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 141 | 136 | $10K |
| W0037 | 1.4% | 1,821 | 1,821 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 31 | 28 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 377 | 324 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | 24 | $1K |
17 more codes
| 90674 | <1% | 97 | $778.35 | |
| 90658 | <1% | 162 | $234.91 | |
| 90670 | <1% | 45 | $172.51 | |
| 81003 | <1% | 15 | $42.64 | |
| 90686 | <1% | 123 | $34.96 | |
| 90734 | 0% | 32 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90655 | 0% | 31 | $0.00 | |
| 90648 | 0% | 46 | $0.00 | |
| 90669 | 0% | 85 | $0.00 | |
| 90707 | 0% | 17 | $0.00 | |
| 90649 | 0% | 20 | $0.00 | |
| 90723 | 0% | 43 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90716 | 0% | 17 | $0.00 | |
| 90645 | 0% | 45 | $0.00 | |
| 90651 | 0% | 21 | $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.