South Dakota Achieve
South Dakota Achieve was paid $445K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 90% of everything it billed.
33Billing provider infoSOUTH DAKOTA ACHIEVE
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1457504649assigned 10/31/2008
33bProvider typeCase Manager/Care Coordinator
28Total paid$445K
24GClaims7,011
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in South Dakota
Rank by total paid#7 of 21
Median peer was paid$368K
This provider vs. median1.2×
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 | 1,491 | $81K | |
| 2019 | 1,049 | $70K | |
| 2020 | 581 | $39K | |
| 2021 | 943 | $58K | |
| 2022 | 958 | $61K | |
| 2023 | 1,016 | $71K | |
| 2024incomplete | 973 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 90% | 6,572 | 2,853 | $398K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 10% | 439 | 224 | $46K |
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 officialKAVANAGH, EDIE (DIRECTOR OF SERVICE COORDINATION)
| Provider | Location | Paid |
|---|---|---|
| South Dakota Achieve | Sioux Falls, SD | $428K |
| South Dakota Achieve | Sioux Falls, SD | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.