Physician
Brown Clinic PLLP
Brown Clinic PLLP was paid $3.12M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoBROWN CLINIC PLLP
WATERTOWN, SD 57201
WATERTOWN, SD 57201
33aNPI1083779821assigned 12/22/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.12M
24GClaims88,462
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Dakota
Rank by total paid#2 of 20
Median peer was paid$6K
This provider vs. median502×
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 | 15,372 | $458K | |
| 2019 | 14,008 | $493K | |
| 2020 | 7,469 | $293K | |
| 2021 | 11,475 | $457K | |
| 2022 | 12,459 | $515K | |
| 2023 | 13,409 | $403K | |
| 2024incomplete | 14,270 | $500K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 25,005 | 20,515 | $1.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 12,267 | 10,357 | $455K |
| W0037 | 8.7% | 8,002 | 8,002 | $271K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.1% | 3,588 | 3,180 | $222K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.6% | 3,079 | 2,870 | $111K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.5% | 1,193 | 1,128 | $109K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 1,647 | 1,495 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,411 | 1,376 | $93K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 965 | 870 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 650 | 622 | $42K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 898 | 857 | $39K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,693 | 5,768 | $29K |
54 more codes
| 11721 | <1% | 1,712 | $26K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 363 | $25K |
| 99490 | Ccm add 20min | <1% | 1,925 | $21K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,409 | $20K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 593 | $16K |
| 80053 | Comprehensive metabolic panel | <1% | 1,937 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,408 | $15K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 925 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 670 | $10K |
| 80061 | Lipid panel | <1% | 1,058 | $10K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 78 | $9K |
| 87428 | <1% | 109 | $6K | |
| 73630 | <1% | 409 | $6K | |
| 87634 | <1% | 96 | $6K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,015 | $6K |
| 80050 | General health panel | <1% | 100 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 510 | $5K |
| 81001 | <1% | 1,536 | $4K | |
| 90686 | <1% | 749 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 687 | $4K |
| 74018 | <1% | 184 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 186 | $4K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 73 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 122 | $3K |
| 90677 | <1% | 79 | $3K | |
| 90674 | <1% | 289 | $3K | |
| 17110 | <1% | 29 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 100 | $1K |
| 96127 | <1% | 327 | $1K | |
| 85004 | <1% | 173 | $1K | |
| 90661 | <1% | 118 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 133 | $1K |
| 93000 | <1% | 132 | $944.46 | |
| 85018 | <1% | 318 | $825.12 | |
| 94760 | <1% | 523 | $699.38 | |
| 36416 | <1% | 250 | $668.38 | |
| 85027 | <1% | 170 | $666.90 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $656.94 |
| 90715 | <1% | 67 | $622.35 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 39 | $541.48 |
| 86140 | <1% | 87 | $386.76 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $305.07 |
| 87807 | <1% | 14 | $246.40 | |
| 81025 | <1% | 13 | $83.72 | |
| 84439 | <1% | 14 | $68.39 | |
| 85652 | <1% | 15 | $33.78 | |
| G0008 | Administration of influenza virus vaccine | 0% | 57 | $0.00 |
| 90651 | 0% | 37 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90697 | 0% | 16 | $0.00 | |
| 90670 | 0% | 90 | $0.00 | |
| 90662 | 0% | 13 | $0.00 | |
| 90734 | 0% | 41 | $0.00 | |
| 90633 | 0% | 26 | $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 officialDUKE, SCOTT (CHIEF ADMINISTRATIVE OFFICER)