MONUMENT HEALTH NETWORK, INC.
NPI: 1265637003
· HILL CITY, SD 57745
· Rural Health Clinic/Center
· NPI assigned 06/20/2007
$134K
Total Medicaid Paid
1,694
Beneficiary Records
Provider Details
| Authorized Official | SCHMIDT, MARK (PRESIDENT CUSTER LEAD-DWD HOSPITAL) |
| NPI Enumeration Date | 06/20/2007 |
Related Entities
Other providers sharing the same authorized official: SCHMIDT, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
597 |
$48K |
| 2019 |
435 |
$36K |
| 2020 |
166 |
$14K |
| 2021 |
224 |
$15K |
| 2022 |
232 |
$19K |
| 2023 |
134 |
$898.37 |
| 2024 |
131 |
$393.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
982 |
859 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
632 |
534 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$3K |
| W0037 |
|
252 |
252 |
$756.00 |
| 90686 |
|
12 |
12 |
$513.32 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
13 |
$403.20 |