Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › WHITE LAKE › PLATTE COMMUNITY MEMORIAL HOSPITAL, INC

PLATTE COMMUNITY MEMORIAL HOSPITAL, INC

NPI: 1477942878 · WHITE LAKE, SD 57383 · Rural Health Clinic/Center · NPI assigned 01/22/2015

$6K
Total Medicaid Paid
247
Total Claims
241
Beneficiaries
4
Codes Billed
2018-10
First Month
2024-02
Last Month

Provider Details

Authorized OfficialBURKET, MARK (CEO)
NPI Enumeration Date01/22/2015

Related Entities

Other providers sharing the same authorized official: BURKET, MARK

ProviderCityStateTotal Paid
PLATTE COMMUNITY MEMORIAL HOSPITAL INC. PLATTE SD $279K
PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. WHITE LAKE SD $402.24

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $2K
2019 54 $3K
2021 33 $0.00
2023 55 $165.00
2024 74 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62 59 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $1K
W0037 115 115 $345.00
90686 56 55 $322.37