Medicaid Provider Spending

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

HEART HOSPITAL OF SOUTH DAKOTA LLC

NPI: 1407109705 · SIOUX FALLS, SD 57108 · Clinical Cardiac Electrophysiology Physician · NPI assigned 10/24/2012

$733K
Total Medicaid Paid
20,620
Total Claims
17,941
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSODERHOLM, JON (PRESIDENT)
Parent OrganizationHEART HOSPITAL OF SOUTH DAKOTA LLC
NPI Enumeration Date10/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,887 $82K
2019 2,837 $94K
2020 1,441 $49K
2021 3,156 $104K
2022 2,800 $102K
2023 3,245 $117K
2024 4,254 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,319 5,779 $331K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,415 3,018 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,354 1,199 $90K
93308 1,006 817 $26K
99215 Prolong outpt/office vis 414 374 $24K
99223 Prolong inpt eval add15 m 257 208 $21K
99232 Subsequent hospital care, per day, moderate complexity 587 229 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 186 168 $20K
93000 1,202 1,029 $18K
99152 916 749 $17K
93971 399 353 $14K
93970 232 208 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,660 2,362 $6K
93248 397 340 $5K
93294 449 409 $5K
93880 46 45 $3K
93016 232 182 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40 39 $1K
99205 Prolong outpt/office vis 15 13 $1K
93018 213 182 $1K
93922 56 49 $1K
99222 Initial hospital care, per day, moderate complexity 13 12 $757.13
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 36 33 $497.05
93295 14 13 $367.89
99231 Subsequent hospital care, per day, straightforward or low complexity 20 13 $331.06
93280 19 12 $251.07
93321 33 26 $225.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 90 80 $102.17