Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › PINE RIDGE › PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

NPI: 1497786412 · PINE RIDGE, SD 57770 · Clinic/Center · NPI assigned 07/06/2006

$37.28M
Total Medicaid Paid
152,470
Total Claims
120,463
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAKERS, RHONDA (BUSINESS OFFICE MANAGER)
Parent OrganizationPINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: AKERS, RHONDA

ProviderCityStateTotal Paid
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL KYLE SD $10.81M
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL WANBLEE SD $4.58M
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL MARTIN SD $862K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,599 $386K
2019 5,998 $704K
2020 3,286 $648K
2021 39,564 $8.34M
2022 33,357 $9.52M
2023 33,294 $8.42M
2024 30,372 $9.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,508 17,195 $9.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,562 13,617 $6.36M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,798 4,463 $2.38M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,012 5,090 $2.13M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,058 3,097 $1.67M
D1206 Topical application of fluoride varnish 3,707 3,628 $1.28M
D0140 Limited oral evaluation - problem focused 2,943 2,779 $1.23M
0001A 3,341 2,638 $1.19M
0002A 3,083 2,430 $1.16M
99215 Prolong outpt/office vis 2,373 1,936 $977K
43235 1,832 1,384 $777K
D0220 Intraoral - periapical first radiographic image 3,601 3,442 $731K
W0037 25,143 25,143 $719K
0071A 1,671 1,367 $654K
A0425 Ground mileage, per statute mile 5,843 4,595 $599K
0072A 1,592 1,257 $574K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,138 847 $496K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 2,464 2,103 $336K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 563 483 $279K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 1,675 1,497 $272K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 455 451 $237K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 946 880 $236K
D7140 Extraction, erupted tooth or exposed root 2,479 1,744 $221K
D1351 Sealant - per tooth 2,423 547 $213K
D1120 Prophylaxis - child 1,119 1,104 $212K
90832 Psychotherapy, 30 minutes with patient 355 270 $205K
0003A 462 387 $193K
47900 829 490 $191K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 348 323 $187K
90834 Psychotherapy, 45 minutes with patient 255 218 $140K
90837 Psychotherapy, 53 minutes with patient 361 247 $139K
0011A 1,652 252 $122K
99384 269 257 $120K
00001 377 369 $116K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 542 507 $115K
99381 493 419 $113K
0012A 1,269 211 $99K
99281 Emergency department visit for the evaluation and management, self-limited or minor 660 456 $85K
0081A 216 185 $83K
99506 178 176 $81K
S0215 Non-emergency transportation; mileage, per mile 1,120 689 $78K
99383 158 158 $73K
D0603 785 785 $62K
0054A 102 101 $58K
D0150 Comprehensive oral evaluation - new or established patient 289 289 $49K
D0274 Bitewings - four radiographic images 178 178 $47K
65400 72 71 $46K
0082A 152 136 $45K
D0210 Intraoral - complete series of radiographic images 231 231 $44K
99382 109 105 $42K
99600 Unlisted home visit service or procedure 86 76 $41K
98968 813 647 $41K
D1110 Prophylaxis - adult 216 214 $33K
99284 Emergency department visit for the evaluation and management, high severity 2,054 1,283 $33K
90791 Psychiatric diagnostic evaluation 59 50 $30K
0031A 87 77 $30K
D0330 Panoramic radiographic image 148 148 $26K
D2940 383 163 $26K
0052A 56 56 $26K
0004A 139 87 $22K
00000 34 34 $22K
D0230 Intraoral - periapical each additional radiographic image 1,839 1,019 $17K
0124A 57 55 $17K
0051A 26 26 $16K
0013A 61 40 $15K
0083A 23 23 $14K
99283 Emergency department visit for the evaluation and management, moderate severity 1,342 918 $13K
D1353 91 48 $11K
0064A 27 16 $9K
0073A 15 15 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 64 24 $8K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 229 202 $8K
T1015 Clinic visit/encounter, all-inclusive 14 13 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 28 26 $4K
D2140 17 14 $4K
99442 411 299 $3K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 1,048 693 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 21 $3K
71046 Radiologic examination, chest; 2 views 19 17 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,035 732 $2K
98967 100 85 $2K
70450 Computed tomography, head or brain; without contrast material 54 40 $1K
71045 Radiologic examination, chest; single view 799 554 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $765.77
99441 94 72 $704.90
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 32 $205.22
99223 Prolong inpt eval add15 m 103 80 $204.94
98966 34 31 $175.92
99222 Initial hospital care, per day, moderate complexity 48 31 $126.72
T2001 Non-emergency transportation; patient attendant/escort 89 78 $76.88
90480 19 19 $5.05
G0463 Hospital outpatient clinic visit for assessment and management of a patient 511 380 $0.00
90686 41 27 $0.00
90647 22 13 $0.00
91307 150 105 $0.00
99239 Hospital discharge day management, more than 30 minutes 24 17 $0.00
99460 22 13 $0.00
Q3014 Telehealth originating site facility fee 34 33 $0.00
90651 17 12 $0.00
81001 35 17 $0.00
99238 Hospital discharge day management, 30 minutes or less 234 158 $0.00
90472 Immunization administration, each additional vaccine (list separately) 53 33 $0.00
91300 263 225 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 380 105 $0.00
90670 26 15 $0.00