Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › YANKTON › YANKTON MEDICAL CLINIC PC

YANKTON MEDICAL CLINIC PC

NPI: 1447251350 · YANKTON, SD 57078 · Dermatology Physician · NPI assigned 08/02/2005

$6.36M
Total Medicaid Paid
256,689
Total Claims
193,054
Beneficiaries
227
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCMANUS, BECKY (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/02/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,160 $876K
2019 35,061 $820K
2020 35,514 $750K
2021 31,831 $922K
2022 35,595 $969K
2023 38,648 $893K
2024 41,880 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55,166 40,129 $1.83M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,428 17,246 $979K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,230 3,732 $271K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,321 3,107 $210K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 572 496 $188K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,997 2,912 $181K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,326 4,442 $170K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,362 1,685 $148K
90472 Immunization administration, each additional vaccine (list separately) 6,309 5,909 $136K
99215 Prolong outpt/office vis 2,776 1,821 $134K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,886 1,769 $124K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,845 4,260 $114K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,663 2,373 $112K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,226 1,169 $104K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,595 9,000 $94K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,844 2,490 $92K
99238 Hospital discharge day management, 30 minutes or less 1,531 1,345 $76K
99308 Subsequent nursing facility care, per day, straightforward 2,897 2,545 $72K
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 892 823 $65K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 906 674 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 842 787 $55K
71046 Radiologic examination, chest; 2 views 3,068 2,310 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,973 1,617 $53K
99460 696 639 $53K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 993 609 $44K
36415 Collection of venous blood by venipuncture 13,509 9,790 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,430 5,603 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,274 3,952 $39K
80053 Comprehensive metabolic panel 5,402 4,075 $37K
90999 Unlisted dialysis procedure, inpatient or outpatient 1,808 44 $33K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 566 490 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 614 278 $30K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 28 27 $28K
84443 Thyroid stimulating hormone (TSH) 2,422 1,903 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg 730 601 $25K
W0037 7,909 7,909 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 638 458 $20K
99284 Emergency department visit for the evaluation and management, high severity 494 78 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,412 1,901 $19K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,779 759 $19K
74018 930 685 $19K
90473 1,938 1,884 $19K
87581 574 499 $19K
87486 573 499 $19K
99188 743 693 $17K
99223 Prolong inpt eval add15 m 237 163 $16K
80061 Lipid panel 1,922 1,538 $15K
93000 1,754 1,277 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,017 94 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 126 102 $14K
87086 Culture, bacterial; quantitative colony count, urine 2,059 1,584 $13K
80048 Basic metabolic panel (calcium, ionized) 2,261 1,714 $13K
83036 Hemoglobin; glycosylated (A1C) 2,144 1,682 $12K
90715 615 569 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,869 1,439 $11K
81001 4,074 3,060 $10K
92593 637 436 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 693 549 $10K
86140 2,129 1,637 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 836 291 $8K
V5266 Battery for use in hearing device 774 559 $8K
90686 586 567 $7K
A9270 Non-covered item or service 278 27 $7K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 214 31 $7K
99462 179 147 $7K
69210 419 345 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 215 212 $7K
85027 1,293 934 $7K
92567 660 518 $5K
20610 265 192 $5K
87653 145 120 $5K
99205 Prolong outpt/office vis 45 36 $5K
96127 991 601 $4K
86803 492 367 $4K
G0008 Administration of influenza virus vaccine 559 248 $4K
90837 Psychotherapy, 53 minutes with patient 171 133 $4K
84439 654 513 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 294 96 $4K
91320 46 42 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 317 214 $3K
85018 1,313 1,147 $3K
73562 170 113 $3K
90480 176 167 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 139 33 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 295 199 $3K
99222 Initial hospital care, per day, moderate complexity 70 60 $3K
99232 Subsequent hospital care, per day, moderate complexity 217 99 $3K
77067 Screening mammography, bilateral, including computer-aided detection 55 46 $3K
31231 47 37 $3K
86703 311 231 $3K
99334 70 70 $3K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 122 121 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 315 138 $2K
85007 688 503 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 32 26 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 325 120 $2K
93971 84 25 $2K
90834 Psychotherapy, 45 minutes with patient 133 114 $2K
87807 153 118 $2K
94060 114 50 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 250 195 $2K
73630 111 77 $2K
54150 15 13 $2K
90853 Group psychotherapy (other than of a multiple-family group) 233 119 $2K
87081 351 285 $2K
76830 Ultrasound, transvaginal 53 25 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 398 263 $2K
0071A 51 48 $2K
87077 216 160 $1K
90688 137 137 $1K
72100 72 53 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 34 12 $1K
90656 356 352 $1K
87186 180 136 $1K
90832 Psychotherapy, 30 minutes with patient 124 100 $1K
77063 Screening digital breast tomosynthesis, bilateral 50 41 $1K
86592 532 376 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 51 48 $1K
73610 89 63 $1K
99233 Prolong inpt eval add15 m 51 29 $1K
82728 146 123 $1K
90651 121 117 $1K
80055 33 28 $1K
92557 65 51 $1K
73110 58 38 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 130 97 $1K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 19 13 $1K
99173 94 92 $1K
87340 191 139 $1K
97116 129 35 $1K
99307 73 63 $1K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 13 12 $1K
84466 110 96 $982.99
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) 370 240 $880.03
80081 13 12 $823.46
81025 170 121 $783.89
99201 33 24 $762.43
99310 Prolong nursin fac eval 15m 33 25 $761.55
83540 162 137 $732.87
92134 96 89 $723.98
0072A 18 18 $714.06
99442 71 59 $708.09
87634 14 12 $702.00
97161 41 18 $645.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 56 25 $623.75
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 32 31 $615.94
90677 69 66 $596.08
0081A 15 15 $590.25
11721 90 71 $588.13
J1885 Injection, ketorolac tromethamine, per 15 mg 81 38 $566.27
98940 111 77 $554.49
99441 129 114 $546.37
A0425 Ground mileage, per statute mile 57 49 $516.91
J1010 Injection, methylprednisolone acetate, 1 mg 73 60 $513.01
0082A 12 12 $472.20
73030 37 27 $464.99
A7031 Face mask interface, replacement for full face mask, each 19 19 $458.12
94729 26 12 $448.81
90620 14 12 $376.65
Q3014 Telehealth originating site facility fee 78 66 $376.36
00142 17 14 $327.29
90474 34 33 $325.59
73130 19 12 $324.04
99231 Subsequent hospital care, per day, straightforward or low complexity 38 14 $316.95
51798 61 52 $311.93
A7030 Full face mask used with positive airway pressure device, each 12 12 $297.80
96381 19 17 $292.57
90734 53 52 $287.02
82565 96 68 $277.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg 33 13 $277.16
67028 Intravitreal injection of a pharmacologic agent 18 18 $271.75
J7050 Infusion, normal saline solution, 250 cc 75 38 $268.02
82950 73 54 $234.76
90716 189 186 $233.22
99497 20 15 $230.70
00731 14 13 $230.61
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 15 14 $196.24
85014 63 55 $169.71
E0601 Continuous positive airway pressure (cpap) device 18 18 $166.46
71045 Radiologic examination, chest; single view 58 37 $164.84
A4604 Tubing with integrated heating element for use with positive airway pressure device 18 18 $162.46
90707 199 193 $162.18
87210 37 27 $152.34
J7999 Compounded drug, not otherwise classified 15 13 $150.40
87449 14 12 $143.76
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 17 12 $142.50
82570 59 34 $138.96
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 22 22 $132.00
11056 12 12 $128.89
85610 42 26 $124.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 95 63 $122.59
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 32 32 $113.98
86850 17 12 $107.47
E1392 Portable oxygen concentrator, rental 13 13 $102.42
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 19 19 $65.73
A7038 Filter, disposable, used with positive airway pressure device 18 18 $61.89
90633 881 860 $61.56
84520 34 27 $60.79
85652 15 13 $55.86
86900 37 25 $47.84
84156 28 13 $44.11
J2405 Injection, ondansetron hydrochloride, per 1 mg 15 12 $37.14
E0562 Humidifier, heated, used with positive airway pressure device 12 12 $35.25
E0570 Nebulizer, with compressor 17 17 $28.97
82043 12 12 $28.90
81000 19 13 $28.14
J0696 Injection, ceftriaxone sodium, per 250 mg 16 12 $17.79
86901 20 13 $14.95
90648 1,158 1,121 $0.00
92015 Determination of refractive state 94 94 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 153 151 $0.00
90700 137 132 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 80 51 $0.00
90710 12 12 $0.00
90662 14 14 $0.00
99051 61 42 $0.00
90671 156 154 $0.00
G8942 Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment 16 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 184 182 $0.00
90723 652 628 $0.00
36416 424 325 $0.00
90680 984 966 $0.00
90698 417 409 $0.00
1036F 48 48 $0.00
91319 26 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 28 28 $0.00
90696 13 13 $0.00