Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DESTINY HEALTHCARE INTERNATIONAL, INC

NPI: 1356369995 · SIOUX FALLS, SD 57105 · Family Medicine Physician · NPI assigned 07/18/2006

$13K
Total Medicaid Paid
394
Total Claims
285
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialKIDMAN, BRIAN (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 394 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 310 218 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 14 $796.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 41 $491.64
36415 Collection of venous blood by venipuncture 16 12 $14.55