Rosebud Indian Health Service

Rosebud Indian Health Service was paid $22.19M by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoROSEBUD INDIAN HEALTH SERVICE
ROSEBUD, SD 57570

33aNPI1194757369assigned 07/07/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$22.19M

24GClaims77,148

24DCodes billed75

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in South Dakota

Rank by total paid#2 of 17

Median peer was paid$547K

This provider vs. median41×

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	5,607	$642K
2019	4,800	$764K
2020	2,756	$318K
2021	19,349	$5.63M
2022	18,279	$5.68M
2023	14,611	$4.86M
2024incomplete	11,746	$4.29M

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	34%	16,695	13,798	$7.46M
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	13%	6,415	5,625	$2.89M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.9%	3,262	2,954	$1.53M
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.5%	2,648	2,452	$995K
0001A		3.3%	1,932	1,512	$732K
0002A		3.1%	1,811	1,383	$693K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.0%	5,539	3,961	$662K
0054A		2.8%	1,191	1,116	$628K
0124A		2.2%	1,122	1,115	$493K
D0220	Intraoral - periapical first radiographic image	2.1%	1,717	1,606	$463K
D0140	Limited oral evaluation - problem focused	2.0%	1,540	1,447	$441K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.8%	1,483	661	$404K

63 more codes

99215	Doctor's office visit, returning patient (complex)	1.7%	846	$386K
42700		1.7%	1,085	$383K
90837	Psychotherapy session, about an hour	1.7%	730	$377K
0071A		1.4%	1,025	$319K
W0037		1.4%	10,280	$315K
0072A		1.3%	842	$295K
99281	Emergency department visit for the evaluation and management, self-limited or minor	1.2%	3,399	$272K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.2%	700	$269K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	380	$197K
0154A		<1%	380	$183K
90832	Psychotherapy session, about 30 minutes	<1%	413	$175K
D1120	Dental cleaning, child	<1%	474	$131K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	2,159	$124K
0004A		<1%	459	$124K
D1206	Topical application of fluoride varnish	<1%	838	$121K
0031A		<1%	319	$114K
0034A		<1%	171	$97K
45500		<1%	344	$95K
0134A		<1%	312	$91K
0064A		<1%	167	$87K
0052A		<1%	163	$66K
0011A		<1%	167	$49K
0074A		<1%	142	$47K
90834	Psychotherapy session, about 45 minutes	<1%	117	$47K
90791	Psychiatric diagnostic evaluation	<1%	107	$46K
0051A		<1%	137	$46K
D7140	Extraction, erupted tooth or exposed root	<1%	859	$42K
D0603		<1%	353	$42K
99600	Unlisted home visit service or procedure	<1%	208	$40K
0012A		<1%	106	$39K
99506		<1%	107	$30K
D0270		<1%	450	$29K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	55	$27K
D1351	Sealant - per tooth	<1%	153	$15K
0081A		<1%	89	$14K
99283	Emergency room visit (moderate)	<1%	1,256	$11K
0003A		<1%	30	$9K
0173A		<1%	12	$8K
0083A		<1%	12	$6K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	18	$6K
D0274	Bitewings - four radiographic images	<1%	15	$5K
D0150	Comprehensive oral evaluation - new or established patient	<1%	57	$4K
98966		<1%	294	$4K
99284	Emergency room visit (serious)	<1%	212	$3K
0082A		<1%	42	$3K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	332	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	29	$1K
98967		<1%	41	$1K
71045	Radiologic examination, chest; single view	<1%	253	$348.67
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	182	$257.93
99441		<1%	44	$184.88
99442		<1%	17	$163.17
70450	Computed tomography, head or brain; without contrast material	<1%	12	$63.54
71046	Radiologic examination, chest; 2 views	<1%	26	$11.25
90472	Immunization administration, each additional vaccine (list separately)	0%	50	$0.00
1	Lens, 1.54-1.65 p/1.60-1.79g	0%	29	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	113	$0.00
64000		0%	51	$0.00
97162		0%	21	$0.00
D0210	Intraoral - complete series of radiographic images	0%	14	$0.00
00001		0%	56	$0.00
36415	Collection of venous blood by venipuncture	0%	13	$0.00
90686		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 officialHOPKINS, SHANNON (ADMINISTRATIVE OFFICER)