ROSEBUD SIOUX TRIBE -CHR
NPI: 1073867420
· ROSEBUD, SD 57570
· Private Vehicle
· NPI assigned 11/07/2012
$309K
Total Medicaid Paid
Provider Details
| Authorized Official | ESPINOZA, EVELYN (HEALTH DIRECTOR) |
| NPI Enumeration Date | 11/07/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
327 |
$9K |
| 2019 |
1,496 |
$47K |
| 2020 |
658 |
$20K |
| 2021 |
1,357 |
$38K |
| 2022 |
1,907 |
$15K |
| 2023 |
3,725 |
$76K |
| 2024 |
3,156 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
5,710 |
3,915 |
$265K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,691 |
4,581 |
$30K |
| A0425 |
Ground mileage, per statute mile |
143 |
119 |
$8K |
| SO215 |
|
82 |
66 |
$7K |