Travis J Ptacek MD PLLC

Travis J Ptacek MD PLLC was paid $147K by Medicaid between Sep 2023 and Dec 2024, across 14 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 53% of everything it billed.

33Billing provider infoTRAVIS J PTACEK MD PLLC
RAPID CITY, SD 57701

33aNPI1265113260assigned 07/31/2023

33bProvider typeNurse Practitioner

28Total paid$147K

24GClaims10,556

24DCodes billed14

24AFirst – last monthSep 2023 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in South Dakota

Rank by total paid#1 of 6

Median peer was paid$6K

This provider vs. median25×

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
2023	922	$4K
2024incomplete	9,634	$143K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	53%	5,051	2,739	$78K
99308	Subsequent nursing facility care, per day, straightforward	18%	2,708	1,359	$27K
99310	Prolong nursin fac eval 15m	8.6%	598	441	$13K
99306	Prolong nursin fac eval 15m	5.5%	317	265	$8K
99491	Ccm add 20min	4.0%	460	436	$6K
99497		3.2%	299	242	$5K
99484		1.5%	341	335	$2K
G0323	Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)	1.4%	433	430	$2K
99483	Prolong outpt/office vis	1.2%	37	37	$2K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	26	25	$1K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	115	59	$1K
11721		<1%	69	68	$630.08

2 more codes

99307		<1%	58	$563.42
99490	Ccm add 20min	<1%	44	$385.21

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 officialPTACEK, TRAVIS (PHYSICIAN)