Medicaid Provider Spending

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

GPPS LLC

NPI: 1386620607 · SIOUX FALLS, SD 57106 · Multi-Specialty Clinic/Center · NPI assigned 12/19/2005

$837K
Total Medicaid Paid
20,597
Total Claims
7,644
Beneficiaries
28
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialPRIBYL, DONALD (ADMINISTRATOR)
NPI Enumeration Date12/19/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,007 $192K
2019 4,485 $213K
2020 5,867 $171K
2021 4,325 $175K
2022 1,913 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 8,461 2,969 $432K
90832 Psychotherapy, 30 minutes with patient 5,873 2,419 $199K
90837 Psychotherapy, 53 minutes with patient 3,606 1,164 $163K
90999 Unlisted dialysis procedure, inpatient or outpatient 1,005 18 $12K
99232 Subsequent hospital care, per day, moderate complexity 401 139 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 189 163 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 209 191 $3K
99284 Emergency department visit for the evaluation and management, high severity 69 18 $2K
A0425 Ground mileage, per statute mile 69 62 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 162 59 $2K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 20 12 $2K
99233 Prolong inpt eval add15 m 78 46 $2K
90791 Psychiatric diagnostic evaluation 16 12 $1K
99223 Prolong inpt eval add15 m 37 34 $1K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 15 15 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 21 21 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 53 51 $926.08
99239 Hospital discharge day management, more than 30 minutes 29 29 $701.55
99283 Emergency department visit for the evaluation and management, moderate severity 43 14 $642.53
99222 Initial hospital care, per day, moderate complexity 25 21 $618.74
90961 12 12 $573.66
99308 Subsequent nursing facility care, per day, straightforward 41 39 $559.63
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 17 17 $391.06
99231 Subsequent hospital care, per day, straightforward or low complexity 34 14 $254.46
99442 28 28 $242.97
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $177.56
99443 12 12 $170.80
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 60 53 $104.65