Medicaid Provider Spending

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

CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC

NPI: 1457593725 · EAGLE BUTTE, SD 57625 · Primary Care Clinic/Center · NPI assigned 04/01/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99213 with only 1 total codes billed. Highly concentrated billing profile.

$7.97M
Total Medicaid Paid
15,179
Total Claims
12,452
Beneficiaries
1
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMON, RAMONA (TRIBAL HEALTH CEO)
NPI Enumeration Date04/01/2009

Related Entities

Other providers sharing the same authorized official: SIMON, RAMONA

ProviderCityStateTotal Paid
CHERRY CREEK TRIBAL HEALTH CENTER CHERRY CREEK SD $1.09M
WHITE HORSE TRIBAL HEALTH CENTER WHITE HORSE SD $33K
CHEYENNE RIVER SIOUX TRIBE FAITH SD $5K
CHEYENNE RIVER SIOUX TRIBE BEHAVORIAL HEALTH EAGLE BUTTE SD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 554 $230K
2019 602 $263K
2020 2,340 $1.07M
2021 4,286 $2.04M
2022 2,600 $1.47M
2023 2,142 $1.18M
2024 2,655 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,179 12,452 $7.97M