Clinic
Pine Ridge Indian Health Service Hospital
Pine Ridge Indian Health Service Hospital was paid $37.28M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
PINE RIDGE, SD 57770
PINE RIDGE, SD 57770
33aNPI1497786412assigned 07/06/2006
33bProvider typeClinic/Center
28Total paid$37.28M
24GClaims152,470
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#1 of 29
Median peer was paid$79K
This provider vs. median470×
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 | 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 | |
| 2024incomplete | 30,372 | $9.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 23,508 | 17,195 | $9.30M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 18,562 | 13,617 | $6.36M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 5,798 | 4,463 | $2.38M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.7% | 7,012 | 5,090 | $2.13M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 4,058 | 3,097 | $1.67M |
| D1206 | Topical application of fluoride varnish | 3.4% | 3,707 | 3,628 | $1.28M |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 2,943 | 2,779 | $1.23M |
| 0001A | 3.2% | 3,341 | 2,638 | $1.19M | |
| 0002A | 3.1% | 3,083 | 2,430 | $1.16M | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 2,373 | 1,936 | $977K |
| 43235 | 2.1% | 1,832 | 1,384 | $777K | |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 3,601 | 3,442 | $731K |
93 more codes
| W0037 | 1.9% | 25,143 | $719K | |
| 0071A | 1.8% | 1,671 | $654K | |
| A0425 | Ground mileage, per statute mile | 1.6% | 5,843 | $599K |
| 0072A | 1.5% | 1,592 | $574K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,138 | $496K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 2,464 | $336K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 563 | $279K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | <1% | 1,675 | $272K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 455 | $237K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 946 | $236K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,479 | $221K |
| D1351 | Sealant - per tooth | <1% | 2,423 | $213K |
| D1120 | Dental cleaning, child | <1% | 1,119 | $212K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 355 | $205K |
| 0003A | <1% | 462 | $193K | |
| 47900 | <1% | 829 | $191K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 348 | $187K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 255 | $140K |
| 90837 | Psychotherapy session, about an hour | <1% | 361 | $139K |
| 0011A | <1% | 1,652 | $122K | |
| 99384 | <1% | 269 | $120K | |
| 00001 | <1% | 377 | $116K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 542 | $115K |
| 99381 | <1% | 493 | $113K | |
| 0012A | <1% | 1,269 | $99K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 660 | $85K |
| 0081A | <1% | 216 | $83K | |
| 99506 | <1% | 178 | $81K | |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 1,120 | $78K |
| 99383 | <1% | 158 | $73K | |
| D0603 | <1% | 785 | $62K | |
| 0054A | <1% | 102 | $58K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 289 | $49K |
| D0274 | Bitewings - four radiographic images | <1% | 178 | $47K |
| 65400 | <1% | 72 | $46K | |
| 0082A | <1% | 152 | $45K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 231 | $44K |
| 99382 | <1% | 109 | $42K | |
| 99600 | Unlisted home visit service or procedure | <1% | 86 | $41K |
| 98968 | <1% | 813 | $41K | |
| D1110 | Prophylaxis - adult | <1% | 216 | $33K |
| 99284 | Emergency room visit (serious) | <1% | 2,054 | $33K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 59 | $30K |
| 0031A | <1% | 87 | $30K | |
| D0330 | Panoramic radiographic image | <1% | 148 | $26K |
| D2940 | <1% | 383 | $26K | |
| 0052A | <1% | 56 | $26K | |
| 0004A | <1% | 139 | $22K | |
| 00000 | <1% | 34 | $22K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,839 | $17K |
| 0124A | <1% | 57 | $17K | |
| 0051A | <1% | 26 | $16K | |
| 0013A | <1% | 61 | $15K | |
| 0083A | <1% | 23 | $14K | |
| 99283 | Emergency room visit (moderate) | <1% | 1,342 | $13K |
| D1353 | <1% | 91 | $11K | |
| 0064A | <1% | 27 | $9K | |
| 0073A | <1% | 15 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 64 | $8K |
| 99285 | Emergency room visit (most serious) | <1% | 229 | $8K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 14 | $8K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 28 | $4K |
| D2140 | <1% | 17 | $4K | |
| 99442 | <1% | 411 | $3K | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 1,048 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 45 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 19 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,035 | $2K |
| 98967 | <1% | 100 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 54 | $1K |
| 71045 | Radiologic examination, chest; single view | <1% | 799 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $765.77 |
| 99441 | <1% | 94 | $704.90 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 35 | $205.22 |
| 99223 | Prolong inpt eval add15 m | <1% | 103 | $204.94 |
| 98966 | <1% | 34 | $175.92 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 48 | $126.72 |
| T2001 | Non-emergency transportation; patient attendant/escort | <1% | 89 | $76.88 |
| 90480 | <1% | 19 | $5.05 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 511 | $0.00 |
| 90686 | 0% | 41 | $0.00 | |
| 90647 | 0% | 22 | $0.00 | |
| 91307 | 0% | 150 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 24 | $0.00 |
| 99460 | 0% | 22 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 34 | $0.00 |
| 90651 | 0% | 17 | $0.00 | |
| 81001 | 0% | 35 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 234 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 53 | $0.00 |
| 91300 | 0% | 263 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 380 | $0.00 |
| 90670 | 0% | 26 | $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 officialAKERS, RHONDA (BUSINESS OFFICE MANAGER)
Parent organizationPINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.