Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Yankton Medical Clinic PC

Yankton Medical Clinic PC was paid $6.36M by Medicaid between Jan 2018 and Dec 2024, across 227 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoYANKTON MEDICAL CLINIC PC
YANKTON, SD 57078
33aNPI1447251350assigned 08/02/2005
33bProvider typeDermatology Physician
28Total paid$6.36M
24GClaims256,689
24DCodes billed227
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dermatology Physician providers in South Dakota

Rank by total paid#1 of 7
Median peer was paid$43K
This provider vs. median149×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201838,160$876K
201935,061$820K
202035,514$750K
202131,831$922K
202235,595$969K
202338,648$893K
2024incomplete41,880$1.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 55,166 40,129 $1.83M
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 15% 24,428 17,246 $979K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 4,230 3,732 $271K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.3% 3,321 3,107 $210K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3.0% 572 496 $188K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.8% 3,997 2,912 $181K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.7% 5,326 4,442 $170K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.3% 2,362 1,685 $148K
90472 Immunization administration, each additional vaccine (list separately) 2.1% 6,309 5,909 $136K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 2,776 1,821 $134K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 1,886 1,769 $124K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 5,845 4,260 $114K
215 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 2,663 $112K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.6% 3,226 $104K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 9,595 $94K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.4% 2,844 $92K
99238 Hospital discharge day management, 30 minutes or less 1.2% 1,531 $76K
99308 Subsequent nursing facility care, per day, straightforward 1.1% 2,897 $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 1.0% 892 $65K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 906 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 842 $55K
71046 Radiologic examination, chest; 2 views <1% 3,068 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,973 $53K
99460 <1% 696 $53K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 993 $44K
36415 Collection of venous blood by venipuncture <1% 13,509 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,430 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,274 $39K
80053 Comprehensive metabolic panel <1% 5,402 $37K
90999 Dialysis (unlisted procedure) <1% 1,808 $33K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 566 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 614 $30K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 28 $28K
84443 Thyroid stimulating hormone (TSH) <1% 2,422 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 730 $25K
W0037 <1% 7,909 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 638 $20K
99284 Emergency room visit (serious) <1% 494 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,412 $19K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,779 $19K
74018 <1% 930 $19K
90473 <1% 1,938 $19K
87581 <1% 574 $19K
87486 <1% 573 $19K
99188 <1% 743 $17K
99223 Prolong inpt eval add15 m <1% 237 $16K
80061 Lipid panel <1% 1,922 $15K
93000 <1% 1,754 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,017 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 126 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,059 $13K
80048 Basic metabolic panel (calcium, ionized) <1% 2,261 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 2,144 $12K
90715 <1% 615 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,869 $11K
81001 <1% 4,074 $10K
92593 <1% 637 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 693 $10K
86140 <1% 2,129 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 836 $8K
V5266 Battery for use in hearing device <1% 774 $8K
90686 <1% 586 $7K
A9270 Non-covered item or service <1% 278 $7K
99285 Emergency room visit (most serious) <1% 214 $7K
99462 <1% 179 $7K
69210 <1% 419 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 215 $7K
85027 <1% 1,293 $7K
92567 <1% 660 $5K
20610 <1% 265 $5K
87653 <1% 145 $5K
99205 Prolong outpt/office vis <1% 45 $5K
96127 <1% 991 $4K
86803 <1% 492 $4K
G0008 Administration of influenza virus vaccine <1% 559 $4K
90837 Psychotherapy session, about an hour <1% 171 $4K
84439 <1% 654 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 294 $4K
91320 <1% 46 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 317 $3K
85018 <1% 1,313 $3K
73562 <1% 170 $3K
90480 <1% 176 $3K
99283 Emergency room visit (moderate) <1% 139 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 295 $3K
99222 Initial hospital care, per day, moderate complexity <1% 70 $3K
99232 Hospital visit by a doctor, follow-up day <1% 217 $3K
77067 Screening mammography, bilateral, including computer-aided detection <1% 55 $3K
31231 <1% 47 $3K
86703 <1% 311 $3K
99334 <1% 70 $3K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate <1% 122 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 315 $2K
85007 <1% 688 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 32 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 325 $2K
93971 <1% 84 $2K
90834 Psychotherapy session, about 45 minutes <1% 133 $2K
87807 <1% 153 $2K
94060 <1% 114 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 250 $2K
73630 <1% 111 $2K
54150 <1% 15 $2K
90853 Group psychotherapy (other than of a multiple-family group) <1% 233 $2K
87081 <1% 351 $2K
76830 Ultrasound, transvaginal <1% 53 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 398 $2K
0071A <1% 51 $2K
87077 <1% 216 $1K
90688 <1% 137 $1K
72100 <1% 72 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 34 $1K
90656 <1% 356 $1K
87186 <1% 180 $1K
90832 Psychotherapy session, about 30 minutes <1% 124 $1K
77063 Screening digital breast tomosynthesis, bilateral <1% 50 $1K
86592 <1% 532 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 51 $1K
73610 <1% 89 $1K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 51 $1K
82728 <1% 146 $1K
90651 <1% 121 $1K
80055 <1% 33 $1K
92557 <1% 65 $1K
73110 <1% 58 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 130 $1K
A0429 Emergency ambulance ride, basic life support <1% 19 $1K
99173 <1% 94 $1K
87340 <1% 191 $1K
97116 <1% 129 $1K
99307 <1% 73 $1K
A0427 Emergency ambulance ride, advanced life support <1% 13 $1K
84466 <1% 110 $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) <1% 370 $880.03
80081 <1% 13 $823.46
81025 <1% 170 $783.89
99201 <1% 33 $762.43
99310 Prolong nursin fac eval 15m <1% 33 $761.55
83540 <1% 162 $732.87
92134 <1% 96 $723.98
0072A <1% 18 $714.06
99442 <1% 71 $708.09
87634 <1% 14 $702.00
97161 <1% 41 $645.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 56 $623.75
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 32 $615.94
90677 <1% 69 $596.08
0081A <1% 15 $590.25
11721 <1% 90 $588.13
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 81 $566.27
98940 <1% 111 $554.49
99441 <1% 129 $546.37
A0425 Ground mileage, per statute mile <1% 57 $516.91
J1010 Injection, methylprednisolone acetate, 1 mg <1% 73 $513.01
0082A <1% 12 $472.20
73030 <1% 37 $464.99
A7031 Face mask interface, replacement for full face mask, each <1% 19 $458.12
94729 <1% 26 $448.81
90620 <1% 14 $376.65
Q3014 Telehealth originating site facility fee <1% 78 $376.36
00142 <1% 17 $327.29
90474 <1% 34 $325.59
73130 <1% 19 $324.04
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 38 $316.95
51798 <1% 61 $311.93
A7030 Full face mask used with positive airway pressure device, each <1% 12 $297.80
96381 <1% 19 $292.57
90734 <1% 53 $287.02
82565 <1% 96 $277.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 33 $277.16
67028 Intravitreal injection of a pharmacologic agent <1% 18 $271.75
J7050 Infusion, normal saline solution, 250 cc <1% 75 $268.02
82950 <1% 73 $234.76
90716 <1% 189 $233.22
99497 <1% 20 $230.70
00731 <1% 14 $230.61
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 15 $196.24
85014 <1% 63 $169.71
E0601 Continuous positive airway pressure (cpap) device <1% 18 $166.46
71045 Radiologic examination, chest; single view <1% 58 $164.84
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 18 $162.46
90707 <1% 199 $162.18
87210 <1% 37 $152.34
J7999 Compounded drug, not otherwise classified <1% 15 $150.40
87449 <1% 14 $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 <1% 17 $142.50
82570 <1% 59 $138.96
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days <1% 22 $132.00
11056 <1% 12 $128.89
85610 <1% 42 $124.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 95 $122.59
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 32 $113.98
86850 <1% 17 $107.47
E1392 Portable oxygen concentrator, rental <1% 13 $102.42
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 19 $65.73
A7038 Filter, disposable, used with positive airway pressure device <1% 18 $61.89
90633 <1% 881 $61.56
84520 <1% 34 $60.79
85652 <1% 15 $55.86
86900 <1% 37 $47.84
84156 <1% 28 $44.11
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15 $37.14
E0562 Humidifier, heated, used with positive airway pressure device <1% 12 $35.25
E0570 Nebulizer, with compressor <1% 17 $28.97
82043 <1% 12 $28.90
81000 <1% 19 $28.14
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 16 $17.79
86901 <1% 20 $14.95
90648 0% 1,158 $0.00
92015 Determination of refractive state 0% 94 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 153 $0.00
90700 0% 137 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 80 $0.00
90710 0% 12 $0.00
90662 0% 14 $0.00
99051 0% 61 $0.00
90671 0% 156 $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 0% 16 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 184 $0.00
90723 0% 652 $0.00
36416 0% 424 $0.00
90680 0% 984 $0.00
90698 0% 417 $0.00
1036F 0% 48 $0.00
91319 0% 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 28 $0.00
90696 0% 13 $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 officialMCMANUS, BECKY (EXECUTIVE DIRECTOR)