Clinic
Wagner Indian Health Service Health Center
Wagner Indian Health Service Health Center was paid $8.78M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoWAGNER INDIAN HEALTH SERVICE HEALTH CENTER
WAGNER, SD 57380
WAGNER, SD 57380
33aNPI1326066796assigned 07/17/2006
33bProvider typeClinic/Center
28Total paid$8.78M
24GClaims52,177
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#4 of 29
Median peer was paid$79K
This provider vs. median111×
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 | 1,994 | $122K | |
| 2019 | 1,484 | $92K | |
| 2020 | 551 | $15K | |
| 2021 | 11,877 | $1.83M | |
| 2022 | 14,050 | $2.30M | |
| 2023 | 12,548 | $2.25M | |
| 2024incomplete | 9,673 | $2.16M |
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 | 41% | 7,885 | 6,589 | $3.64M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 3,590 | 3,145 | $1.66M |
| 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 | 15% | 2,621 | 2,265 | $1.33M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.1% | 2,039 | 1,391 | $707K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 547 | 368 | $336K |
| D1206 | Topical application of fluoride varnish | 1.5% | 622 | 620 | $129K |
| S0215 | Non-emergency transportation; mileage, per mile | 1.4% | 1,086 | 799 | $127K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 477 | 445 | $109K |
| 81003 | 1.1% | 2,408 | 1,976 | $101K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 182 | 180 | $90K |
| W0037 | <1% | 3,044 | 3,044 | $55K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 229 | 229 | $46K |
55 more codes
| 0054A | <1% | 66 | $40K | |
| 0011A | <1% | 75 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 45 | $27K |
| 0064A | <1% | 54 | $26K | |
| 0001A | <1% | 56 | $22K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 43 | $22K |
| 0071A | <1% | 52 | $22K | |
| 0002A | <1% | 53 | $21K | |
| 0072A | <1% | 32 | $19K | |
| 0012A | <1% | 37 | $19K | |
| 99506 | <1% | 48 | $18K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 4,975 | $16K |
| 0052A | <1% | 28 | $14K | |
| 0074A | <1% | 20 | $13K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 169 | $13K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 1,631 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 34 | $11K |
| 96127 | <1% | 45 | $10K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,926 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 16 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $8K |
| 0073A | <1% | 12 | $7K | |
| 0124A | <1% | 12 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $7K |
| 0134A | <1% | 12 | $6K | |
| A0425 | Ground mileage, per statute mile | <1% | 50 | $5K |
| 0051A | <1% | 13 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | $3K |
| 87430 | <1% | 4,132 | $2K | |
| 85018 | <1% | 58 | $2K | |
| 92015 | Determination of refractive state | <1% | 113 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 330 | $1K |
| D0120 | Dental checkup, returning patient | <1% | 125 | $882.00 |
| 82947 | <1% | 28 | $519.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 716 | $519.00 |
| 87070 | <1% | 661 | $519.00 | |
| 84703 | <1% | 274 | $519.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,546 | $0.00 |
| 81025 | 0% | 230 | $0.00 | |
| 80061 | Lipid panel | 0% | 357 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 4,860 | $0.00 |
| 80076 | 0% | 136 | $0.00 | |
| 0 | Res change sc >=0 | 0% | 318 | $0.00 |
| 86756 | 0% | 96 | $0.00 | |
| 85014 | 0% | 19 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 1,777 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 1,080 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 234 | $0.00 |
| 85027 | 0% | 256 | $0.00 | |
| 87807 | 0% | 96 | $0.00 | |
| 86140 | 0% | 114 | $0.00 | |
| 81015 | 0% | 82 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 128 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 65 | $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 officialHORNED EAGLE, MICHAEL (CEO)