Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › CENTER FOR FAMILY MEDICINE

CENTER FOR FAMILY MEDICINE

NPI: 1164493672 · SIOUX FALLS, SD 57105 · Family Medicine Physician · NPI assigned 02/01/2006

$2.38M
Total Medicaid Paid
102,391
Total Claims
84,827
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEDT, ROSE (BUSINESS OFFICE SUPERVISOR)
NPI Enumeration Date02/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,385 $242K
2019 11,133 $240K
2020 26,045 $484K
2021 12,832 $327K
2022 13,643 $375K
2023 14,185 $322K
2024 13,168 $387K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,343 13,860 $694K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,823 5,975 $392K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,273 2,785 $217K
W0037 6,927 6,927 $132K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,743 1,699 $117K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,279 1,242 $91K
90472 Immunization administration, each additional vaccine (list separately) 3,725 3,638 $78K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,775 6,597 $70K
90999 Unlisted dialysis procedure, inpatient or outpatient 3,938 103 $53K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 660 640 $48K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,321 982 $30K
36415 Collection of venous blood by venipuncture 7,148 6,140 $29K
99232 Subsequent hospital care, per day, moderate complexity 1,160 384 $27K
99238 Hospital discharge day management, 30 minutes or less 386 366 $19K
80305 1,726 1,507 $18K
87428 420 405 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,220 113 $17K
99284 Emergency department visit for the evaluation and management, high severity 761 116 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,236 2,062 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 346 341 $13K
99188 527 517 $13K
90686 3,132 3,084 $13K
99222 Initial hospital care, per day, moderate complexity 196 179 $12K
A9270 Non-covered item or service 383 42 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 203 34 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 229 171 $11K
99460 130 127 $11K
80053 Comprehensive metabolic panel 1,217 1,134 $10K
99283 Emergency department visit for the evaluation and management, moderate severity 346 72 $10K
99000 4,948 4,238 $9K
99215 Prolong outpt/office vis 187 152 $9K
84443 Thyroid stimulating hormone (TSH) 653 619 $9K
90715 497 490 $8K
99308 Subsequent nursing facility care, per day, straightforward 293 279 $8K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 281 46 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 206 195 $7K
81025 902 835 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 434 212 $6K
83036 Hemoglobin; glycosylated (A1C) 925 904 $6K
G0008 Administration of influenza virus vaccine 677 163 $6K
81001 1,801 1,664 $6K
90837 Psychotherapy, 53 minutes with patient 279 190 $5K
90834 Psychotherapy, 45 minutes with patient 321 246 $5K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 235 235 $5K
80048 Basic metabolic panel (calcium, ionized) 855 793 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 56 56 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 43 37 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 98 89 $3K
99462 92 70 $3K
99239 Hospital discharge day management, more than 30 minutes 57 55 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 264 199 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 112 111 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 187 169 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 363 345 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 30 28 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 170 77 $2K
97161 90 16 $2K
85018 816 780 $2K
99223 Prolong inpt eval add15 m 46 44 $2K
99233 Prolong inpt eval add15 m 105 44 $2K
90651 325 322 $2K
90832 Psychotherapy, 30 minutes with patient 177 131 $2K
Q3014 Telehealth originating site facility fee 191 81 $2K
99177 306 293 $2K
71046 Radiologic examination, chest; 2 views 128 94 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 76 75 $2K
87210 308 286 $2K
80061 Lipid panel 175 167 $2K
90670 1,692 1,673 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 57 $1K
11721 111 89 $1K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 58 58 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 33 $1K
E0601 Continuous positive airway pressure (cpap) device 77 77 $809.66
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 71 62 $769.65
99307 41 39 $735.53
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 103 31 $680.55
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 54 31 $641.64
A7031 Face mask interface, replacement for full face mask, each 29 28 $632.22
90710 471 463 $565.27
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 25 24 $539.79
E1392 Portable oxygen concentrator, rental 67 67 $536.85
90671 341 328 $512.82
A7030 Full face mask used with positive airway pressure device, each 18 18 $446.34
A4604 Tubing with integrated heating element for use with positive airway pressure device 40 40 $383.65
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $378.50
99490 Ccm add 20min 36 34 $321.76
93296 39 39 $301.86
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 144 120 $301.40
71045 Radiologic examination, chest; single view 90 75 $237.70
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 20 19 $213.80
98940 37 28 $208.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 79 74 $202.66
92134 25 25 $183.58
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 15 13 $171.27
11056 14 14 $170.19
A7035 Headgear used with positive airway pressure device 31 31 $161.08
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 37 37 $160.30
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 53 53 $156.41
A7038 Filter, disposable, used with positive airway pressure device 44 44 $142.28
E0562 Humidifier, heated, used with positive airway pressure device 31 31 $119.96
88305 Level IV - Surgical pathology, gross and microscopic examination 26 15 $96.32
K0001 Standard wheelchair 15 15 $92.23
82950 13 12 $83.04
E0570 Nebulizer, with compressor 35 35 $59.98
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 12 12 $37.01
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 12 12 $32.00
90688 258 252 $2.46
90633 778 766 $1.76
90733 266 260 $1.07
90685 46 46 $0.46
90620 13 13 $0.02
90648 1,044 1,032 $0.00
90681 774 761 $0.00
90700 25 24 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 50 28 $0.00
92015 Determination of refractive state 14 14 $0.00
90649 65 65 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00
90697 759 737 $0.00
90723 809 800 $0.00
90696 64 64 $0.00
36416 13 13 $0.00