Physician
Center for Family Medicine
Center for Family Medicine was paid $2.38M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCENTER FOR FAMILY MEDICINE
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1164493672assigned 02/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.38M
24GClaims102,391
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#5 of 40
Median peer was paid$144K
This provider vs. median17×
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 | 11,385 | $242K | |
| 2019 | 11,133 | $240K | |
| 2020 | 26,045 | $484K | |
| 2021 | 12,832 | $327K | |
| 2022 | 13,643 | $375K | |
| 2023 | 14,185 | $322K | |
| 2024incomplete | 13,168 | $387K |
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 | 29% | 16,343 | 13,860 | $694K |
| 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 | 16% | 6,823 | 5,975 | $392K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 3,273 | 2,785 | $217K |
| W0037 | 5.6% | 6,927 | 6,927 | $132K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 1,743 | 1,699 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 1,279 | 1,242 | $91K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 3,725 | 3,638 | $78K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 6,775 | 6,597 | $70K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 2.2% | 3,938 | 103 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 660 | 640 | $48K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.3% | 2,321 | 982 | $30K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 7,148 | 6,140 | $29K |
111 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 1,160 | $27K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 386 | $19K |
| 80305 | <1% | 1,726 | $18K | |
| 87428 | <1% | 420 | $17K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,220 | $17K |
| 99284 | Emergency room visit (serious) | <1% | 761 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,236 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 346 | $13K |
| 99188 | <1% | 527 | $13K | |
| 90686 | <1% | 3,132 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 196 | $12K |
| A9270 | Non-covered item or service | <1% | 383 | $12K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 203 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 229 | $11K |
| 99460 | <1% | 130 | $11K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,217 | $10K |
| 99283 | Emergency room visit (moderate) | <1% | 346 | $10K |
| 99000 | <1% | 4,948 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 187 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 653 | $9K |
| 90715 | <1% | 497 | $8K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 293 | $8K |
| 99285 | Emergency room visit (most serious) | <1% | 281 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 206 | $7K |
| 81025 | <1% | 902 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 434 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 925 | $6K |
| G0008 | Administration of influenza virus vaccine | <1% | 677 | $6K |
| 81001 | <1% | 1,801 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 279 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 321 | $5K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 235 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 855 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 56 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 43 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 98 | $3K |
| 99462 | <1% | 92 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 57 | $3K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 264 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 112 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 187 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 363 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 30 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 170 | $2K |
| 97161 | <1% | 90 | $2K | |
| 85018 | <1% | 816 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 46 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 105 | $2K |
| 90651 | <1% | 325 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 177 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 191 | $2K |
| 99177 | <1% | 306 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 128 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 76 | $2K |
| 87210 | <1% | 308 | $2K | |
| 80061 | Lipid panel | <1% | 175 | $2K |
| 90670 | <1% | 1,692 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 68 | $1K |
| 11721 | <1% | 111 | $1K | |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 58 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $1K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 77 | $809.66 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 71 | $769.65 |
| 99307 | <1% | 41 | $735.53 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 103 | $680.55 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 54 | $641.64 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 29 | $632.22 |
| 90710 | <1% | 471 | $565.27 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 25 | $539.79 |
| E1392 | Portable oxygen concentrator, rental | <1% | 67 | $536.85 |
| 90671 | <1% | 341 | $512.82 | |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 18 | $446.34 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 40 | $383.65 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $378.50 |
| 99490 | Ccm add 20min | <1% | 36 | $321.76 |
| 93296 | <1% | 39 | $301.86 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 144 | $301.40 |
| 71045 | Radiologic examination, chest; single view | <1% | 90 | $237.70 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 20 | $213.80 |
| 98940 | <1% | 37 | $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) | <1% | 79 | $202.66 |
| 92134 | <1% | 25 | $183.58 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 15 | $171.27 |
| 11056 | <1% | 14 | $170.19 | |
| A7035 | Headgear used with positive airway pressure device | <1% | 31 | $161.08 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 37 | $160.30 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 53 | $156.41 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 44 | $142.28 |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 31 | $119.96 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 26 | $96.32 |
| K0001 | Standard wheelchair | <1% | 15 | $92.23 |
| 82950 | <1% | 13 | $83.04 | |
| E0570 | Nebulizer, with compressor | <1% | 35 | $59.98 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 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 | <1% | 12 | $32.00 |
| 90688 | <1% | 258 | $2.46 | |
| 90633 | <1% | 778 | $1.76 | |
| 90733 | <1% | 266 | $1.07 | |
| 90685 | <1% | 46 | $0.46 | |
| 90620 | <1% | 13 | $0.02 | |
| 90648 | 0% | 1,044 | $0.00 | |
| 90681 | 0% | 774 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 50 | $0.00 |
| 92015 | Determination of refractive state | 0% | 14 | $0.00 |
| 90649 | 0% | 65 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| 90697 | 0% | 759 | $0.00 | |
| 90723 | 0% | 809 | $0.00 | |
| 90696 | 0% | 64 | $0.00 | |
| 36416 | 0% | 13 | $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 officialFEDT, ROSE (BUSINESS OFFICE SUPERVISOR)