Hospital
Wagner Community Memorial Hospital
Wagner Community Memorial Hospital was paid $769K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is J3490, Unclassified drugs — 44% of everything it billed.
33Billing provider infoWAGNER COMMUNITY MEMORIAL HOSPITAL
WAGNER, SD 57380
WAGNER, SD 57380
33aNPI1326030974assigned 08/19/2005
33bProvider typeCritical Access Hospital
28Total paid$769K
24GClaims8,883
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in South Dakota
Rank by total paid#3 of 22
Median peer was paid$53K
This provider vs. median15×
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 | 973 | $109K | |
| 2019 | 821 | $53K | |
| 2020 | 510 | $38K | |
| 2021 | 684 | $109K | |
| 2022 | 420 | $25K | |
| 2023 | 1,051 | $80K | |
| 2024incomplete | 4,424 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3490 | Unclassified drugs | 44% | 4,056 | 781 | $337K |
| 36415 | Collection of venous blood by venipuncture | 12% | 324 | 246 | $91K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 573 | 560 | $78K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 8.1% | 364 | 350 | $62K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.5% | 335 | 215 | $42K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.9% | 481 | 298 | $38K |
| 80053 | Comprehensive metabolic panel | 4.8% | 287 | 225 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 364 | 329 | $33K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 123 | 121 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 768 | 598 | $10K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 147 | 140 | $7K |
| 87631 | <1% | 41 | 39 | $6K |
13 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 254 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 314 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 82 | $2K |
| M0239 | Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring | <1% | 63 | $2K |
| 87486 | <1% | 13 | $776.10 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 118 | $607.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $570.37 |
| 87807 | <1% | 97 | $17.56 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 14 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 13 | $0.00 |
| 87581 | 0% | 13 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 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 officialSLABA, BRYAN (CEO)