Flandreau Santee Sioux Tribe

Flandreau Santee Sioux Tribe was paid $2.89M by Medicaid between Apr 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

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	21	$7K
2020	13	$0.00
2021	1,460	$328K
2022	2,042	$535K
2023	3,519	$737K
2024incomplete	5,183	$1.28M

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	44%	2,743	2,235	$1.28M
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	14%	825	720	$410K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	782	683	$372K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	4.6%	216	108	$133K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.9%	197	192	$111K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.7%	334	316	$107K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	3.5%	180	91	$102K
D1206	Topical application of fluoride varnish	2.7%	359	359	$78K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.4%	257	196	$69K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.3%	75	70	$38K
D1110	Prophylaxis - adult	1.2%	156	156	$36K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	33	16	$20K

35 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	744	$20K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	489	$12K
D0120	Dental checkup, returning patient	<1%	200	$11K
D0220	Intraoral - periapical first radiographic image	<1%	119	$10K
87430		<1%	350	$9K
D0274	Bitewings - four radiographic images	<1%	43	$9K
0011A		<1%	21	$8K
42700		<1%	21	$7K
0001A		<1%	13	$7K
80053	Comprehensive metabolic panel	<1%	447	$6K
0002A		<1%	12	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	17	$4K
81001		<1%	68	$4K
84443	Thyroid stimulating hormone (TSH)	<1%	102	$3K
80061	Lipid panel	<1%	44	$3K
92015	Determination of refractive state	<1%	288	$3K
W0037		<1%	821	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	223	$2K
90686		<1%	180	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	$719.00
83036	Hemoglobin; glycosylated (A1C)	<1%	177	$719.00
90472	Immunization administration, each additional vaccine (list separately)	0%	42	$0.00
91322		0%	16	$0.00
84439		0%	59	$0.00
91300		0%	32	$0.00
87420		0%	17	$0.00
90734		0%	13	$0.00
81025		0%	13	$0.00
91301		0%	49	$0.00
36415	Collection of venous blood by venipuncture	0%	1,345	$0.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	0%	25	$0.00
90480		0%	14	$0.00
90651		0%	16	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	32	$0.00
91307		0%	17	$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 officialWALFORD, DAVID (BILLER/ CREDENTIALING)