Edgewood Prairie Crossings Sioux Falls

Edgewood Prairie Crossings Sioux Falls was paid $1.83M by Medicaid between Feb 2018 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoEDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS
SIOUX FALLS, SD 57106

33aNPI1245666353assigned 09/20/2013

33bProvider typeAssisted Living Facility

28Total paid$1.83M

24GClaims1,600

24DCodes billed1

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in South Dakota

Rank by total paid#7 of 37

Median peer was paid$299K

This provider vs. median6.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

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	184	$146K
2019	188	$192K
2020	157	$160K
2021	237	$279K
2022	287	$295K
2023	324	$366K
2024incomplete	223	$390K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	1,600	1,424	$1.83M

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 officialKRAMER, BARBARA (DIRECTOR OF UTILIZATION REVIEW)

Same official

Other billing entities under KRAMER, BARBARA

Full network →

Provider	Location	Paid
Edgewood Prairie Crossings Mitchell	Mitchell, SD	$120K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.