Clinic
Woodrow Wilson Keeble Memorial Health Care Center
Woodrow Wilson Keeble Memorial Health Care Center was paid $6.76M by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoWOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
SISSETON, SD 57262
SISSETON, SD 57262
33aNPI1366471666assigned 07/01/2006
33bProvider typeClinic/Center
28Total paid$6.76M
24GClaims40,541
24DCodes billed71
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#5 of 29
Median peer was paid$79K
This provider vs. median85×
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 | 3,045 | $171K | |
| 2019 | 2,589 | $301K | |
| 2020 | 758 | $90K | |
| 2021 | 9,666 | $1.62M | |
| 2022 | 11,718 | $1.88M | |
| 2023 | 9,236 | $1.64M | |
| 2024incomplete | 3,529 | $1.05M |
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 | 32% | 5,068 | 4,525 | $2.18M |
| 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 | 16% | 2,743 | 2,507 | $1.07M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 1,273 | 1,200 | $585K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 1,242 | 1,178 | $460K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.6% | 649 | 536 | $313K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,008 | 998 | $292K |
| D1206 | Topical application of fluoride varnish | 4.0% | 1,784 | 1,741 | $272K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 1,020 | 1,001 | $230K |
| W0037 | 3.0% | 4,570 | 4,570 | $205K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 267 | 265 | $125K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,671 | 1,606 | $121K |
| D1351 | Sealant - per tooth | 1.3% | 2,515 | 686 | $86K |
59 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 1,622 | $69K |
| D0120 | Dental checkup, returning patient | <1% | 224 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 224 | $62K |
| 81003 | <1% | 1,638 | $45K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 806 | $43K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,719 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 128 | $32K |
| 0012A | <1% | 81 | $32K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | $32K |
| D0272 | Bitewings - two radiographic images | <1% | 294 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | $29K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 243 | $29K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $28K |
| 0071A | <1% | 104 | $26K | |
| 80061 | Lipid panel | <1% | 537 | $24K |
| 81025 | <1% | 149 | $23K | |
| 0072A | <1% | 44 | $23K | |
| 0001A | <1% | 67 | $21K | |
| D1110 | Prophylaxis - adult | <1% | 118 | $21K |
| 80053 | Comprehensive metabolic panel | <1% | 1,036 | $17K |
| 0011A | <1% | 76 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 30 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 135 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,995 | $12K |
| 0002A | <1% | 26 | $10K | |
| 92015 | Determination of refractive state | <1% | 518 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 985 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 24 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 550 | $4K |
| 0134A | <1% | 89 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 38 | $3K |
| 87400 | <1% | 565 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 612 | $2K |
| 0124A | <1% | 12 | $2K | |
| D0270 | <1% | 85 | $1K | |
| D1354 | <1% | 33 | $854.00 | |
| 87807 | <1% | 115 | $640.00 | |
| 90734 | <1% | 56 | $640.00 | |
| 91300 | <1% | 80 | $519.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $25.02 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 135 | $2.16 |
| 90686 | 0% | 335 | $0.00 | |
| 96127 | 0% | 17 | $0.00 | |
| 90674 | 0% | 60 | $0.00 | |
| 87081 | 0% | 194 | $0.00 | |
| 90651 | 0% | 37 | $0.00 | |
| 91307 | 0% | 39 | $0.00 | |
| 0064A | 0% | 14 | $0.00 | |
| 91301 | 0% | 46 | $0.00 | |
| 90656 | 0% | 18 | $0.00 | |
| 90696 | 0% | 34 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 64 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 345 | $0.00 |
| 90715 | 0% | 34 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 15 | $0.00 |
| 90710 | 0% | 38 | $0.00 | |
| 0353U | 0% | 15 | $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 officialGOTT, JUANITA (CEO)