Physician
City of Sioux Falls
City of Sioux Falls was paid $288K by Medicaid between Feb 2018 and Dec 2024, across 39 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.
33Billing provider infoCITY OF SIOUX FALLS
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
33aNPI1457888760assigned 05/17/2017
33bProvider typeFamily Medicine Physician
28Total paid$288K
24GClaims13,700
24DCodes billed39
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#13 of 40
Median peer was paid$144K
This provider vs. median2.0×
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 | 103 | $9K | |
| 2019 | 60 | $5K | |
| 2021 | 675 | $11K | |
| 2022 | 999 | $8K | |
| 2023 | 4,644 | $98K | |
| 2024incomplete | 7,219 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 1,504 | 339 | $80K |
| 99222 | Initial hospital care, per day, moderate complexity | 16% | 460 | 393 | $47K |
| 99239 | Hospital discharge day management, more than 30 minutes | 12% | 409 | 358 | $34K |
| 90716 | 11% | 558 | 477 | $31K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.2% | 1,127 | 855 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 1,688 | 1,552 | $18K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3.0% | 290 | 255 | $9K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.0% | 290 | 255 | $9K |
| 36415 | Collection of venous blood by venipuncture | 2.2% | 994 | 834 | $6K |
| 90715 | 1.6% | 272 | 246 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 642 | 541 | $4K |
| 90713 | 1.1% | 427 | 378 | $3K |
27 more codes
| 0002A | 1.1% | 84 | $3K | |
| 90651 | 1.0% | 42 | $3K | |
| 90746 | <1% | 55 | $3K | |
| 90688 | <1% | 586 | $3K | |
| 86703 | <1% | 286 | $2K | |
| 86592 | <1% | 550 | $2K | |
| 0001A | <1% | 40 | $2K | |
| 0031A | <1% | 29 | $1K | |
| 99188 | <1% | 32 | $845.97 | |
| 90707 | <1% | 16 | $729.00 | |
| 90658 | <1% | 31 | $592.20 | |
| 81025 | <1% | 60 | $490.77 | |
| 80061 | Lipid panel | <1% | 28 | $334.75 |
| 86480 | <1% | 417 | $61.98 | |
| 86803 | <1% | 195 | $14.27 | |
| 83655 | <1% | 212 | $12.11 | |
| 81003 | <1% | 281 | $2.25 | |
| 99000 | 0% | 660 | $0.00 | |
| 86706 | 0% | 294 | $0.00 | |
| 86704 | 0% | 297 | $0.00 | |
| 87340 | 0% | 295 | $0.00 | |
| 86580 | 0% | 12 | $0.00 | |
| 90656 | 0% | 19 | $0.00 | |
| 90633 | 0% | 197 | $0.00 | |
| 86705 | 0% | 281 | $0.00 | |
| 91300 | 0% | 23 | $0.00 | |
| 90734 | 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 officialRICHARDSON, AMY (ASSISTANT PUBLIC HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| City of Sioux Falls | Sioux Falls, SD | $8.66M |
| City of Sioux Falls | Sioux Falls, SD | $211K |
| City of Sioux Falls | Sioux Falls, SD | $126K |
| City of Sioux Falls | Sioux Falls, SD | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.