Clinic
GPPS LLC
GPPS LLC was paid $837K by Medicaid between Jan 2018 and Jul 2022, across 28 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 52% of everything it billed.
33Billing provider infoGPPS LLC
SIOUX FALLS, SD 57106
SIOUX FALLS, SD 57106
33aNPI1386620607assigned 12/19/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$837K
24GClaims20,597
24DCodes billed28
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in South Dakota
Rank by total paid#6 of 24
Median peer was paid$251K
This provider vs. median3.3×
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 | 4,007 | $192K | |
| 2019 | 4,485 | $213K | |
| 2020 | 5,867 | $171K | |
| 2021 | 4,325 | $175K | |
| 2022 | 1,913 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 52% | 8,461 | 2,969 | $432K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 24% | 5,873 | 2,419 | $199K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 19% | 3,606 | 1,164 | $163K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 1.4% | 1,005 | 18 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 401 | 139 | $6K |
| 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 | <1% | 189 | 163 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 209 | 191 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 69 | 18 | $2K |
| A0425 | Ground mileage, per statute mile | <1% | 69 | 62 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 162 | 59 | $2K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | <1% | 20 | 12 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 78 | 46 | $2K |
16 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 37 | $1K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 15 | $1K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 21 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 53 | $926.08 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | $701.55 |
| 99283 | Emergency room visit (moderate) | <1% | 43 | $642.53 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $618.74 |
| 90961 | <1% | 12 | $573.66 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 41 | $559.63 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 17 | $391.06 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 34 | $254.46 |
| 99442 | <1% | 28 | $242.97 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | $177.56 |
| 99443 | <1% | 12 | $170.80 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 60 | $104.65 |
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 officialPRIBYL, DONALD (ADMINISTRATOR)