Clinic
Great Plains Tribal Chairmen's Health Board
Great Plains Tribal Chairmen's Health Board was paid $36.39M by Medicaid between Aug 2019 and Dec 2024, across 117 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoGREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
RAPID CITY, SD 57702
RAPID CITY, SD 57702
33aNPI1376105452assigned 06/28/2019
33bProvider typeUrgent Care Clinic/Center
28Total paid$36.39M
24GClaims113,353
24DCodes billed117
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Dakota
Rank by total paid#1 of 6
Median peer was paid$400K
This provider vs. median91×
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 | |
|---|---|---|---|
| 2019 | 397 | $152K | |
| 2020 | 1,606 | $286K | |
| 2021 | 29,366 | $4.23M | |
| 2022 | 28,167 | $7.25M | |
| 2023 | 24,639 | $9.62M | |
| 2024incomplete | 29,178 | $14.86M |
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 | 88% | 56,634 | 38,703 | $31.95M |
| 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 | 2.2% | 2,900 | 2,599 | $790K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,676 | 1,521 | $710K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 1,243 | 1,017 | $519K |
| W0037 | <1% | 12,808 | 12,808 | $267K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 407 | 385 | $219K |
| 0001A | <1% | 454 | 441 | $203K | |
| 0002A | <1% | 396 | 392 | $190K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 432 | 410 | $164K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 354 | 326 | $145K |
| 0011A | <1% | 236 | 232 | $106K | |
| 0012A | <1% | 208 | 206 | $96K |
105 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,447 | $82K |
| 0071A | <1% | 176 | $81K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 182 | $81K |
| 0072A | <1% | 140 | $76K | |
| 0064A | <1% | 128 | $61K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 137 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 96 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 69 | $35K |
| D1206 | Topical application of fluoride varnish | <1% | 91 | $32K |
| 90837 | Psychotherapy session, about an hour | <1% | 78 | $31K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 351 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 756 | $30K |
| 0052A | <1% | 46 | $28K | |
| 85027 | <1% | 1,970 | $25K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 388 | $24K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 446 | $23K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 49 | $21K |
| 0054A | <1% | 48 | $20K | |
| 0004A | <1% | 77 | $20K | |
| 0051A | <1% | 39 | $20K | |
| 87081 | <1% | 464 | $19K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 56 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 216 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,479 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 79 | $12K |
| 86703 | <1% | 468 | $11K | |
| 90686 | <1% | 773 | $10K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,840 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,369 | $8K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 36 | $7K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 994 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 59 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 19 | $5K |
| 92002 | <1% | 16 | $5K | |
| 80061 | Lipid panel | <1% | 886 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 998 | $4K |
| 86592 | <1% | 366 | $3K | |
| 92015 | Determination of refractive state | <1% | 258 | $3K |
| D1110 | Prophylaxis - adult | <1% | 60 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 370 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 742 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,364 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 751 | $2K |
| 86769 | <1% | 35 | $2K | |
| 84703 | <1% | 300 | $2K | |
| 81001 | <1% | 819 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 12 | $1K |
| 80306 | <1% | 56 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 38 | $1K |
| 87088 | <1% | 500 | $1K | |
| 83735 | <1% | 593 | $1K | |
| 86141 | <1% | 122 | $1K | |
| 90723 | <1% | 262 | $1K | |
| 86780 | <1% | 367 | $679.72 | |
| 82607 | <1% | 230 | $641.21 | |
| 81003 | <1% | 637 | $640.19 | |
| 82570 | <1% | 157 | $640.00 | |
| D0270 | <1% | 28 | $640.00 | |
| 80074 | <1% | 287 | $566.63 | |
| 84439 | <1% | 843 | $528.74 | |
| 87807 | <1% | 175 | $519.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 94 | $519.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 469 | $175.45 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 946 | $31.98 |
| 93000 | <1% | 30 | $18.71 | |
| 86593 | <1% | 369 | $13.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,079 | $7.71 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 201 | $6.87 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 186 | $4.24 |
| 82746 | <1% | 135 | $1.18 | |
| 90647 | 0% | 246 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 16 | $0.00 |
| 91301 | 0% | 514 | $0.00 | |
| 87077 | 0% | 438 | $0.00 | |
| 90680 | 0% | 17 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 180 | $0.00 |
| 91306 | 0% | 114 | $0.00 | |
| 87428 | 0% | 59 | $0.00 | |
| 82043 | 0% | 156 | $0.00 | |
| 90474 | 0% | 29 | $0.00 | |
| 91305 | 0% | 171 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 57 | $0.00 |
| 90651 | 0% | 92 | $0.00 | |
| 91307 | 0% | 330 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 1111F | 0% | 33 | $0.00 | |
| 90694 | 0% | 12 | $0.00 | |
| 90674 | 0% | 17 | $0.00 | |
| 86803 | 0% | 18 | $0.00 | |
| 90480 | 0% | 13 | $0.00 | |
| 90670 | 0% | 326 | $0.00 | |
| 90715 | 0% | 89 | $0.00 | |
| 90633 | 0% | 64 | $0.00 | |
| 91322 | 0% | 13 | $0.00 | |
| 90710 | 0% | 89 | $0.00 | |
| 91300 | 0% | 879 | $0.00 | |
| 83540 | 0% | 14 | $0.00 | |
| 87186 | 0% | 31 | $0.00 | |
| 83655 | 0% | 12 | $0.00 | |
| 90734 | 0% | 94 | $0.00 | |
| 0502F | 0% | 51 | $0.00 | |
| 90672 | 0% | 14 | $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 officialLEE, MARGARET (BUSINESS PLANNING & DEVELOPMENT MGR)
Parent organizationGREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD