NPI: 1497786412 · PINE RIDGE, SD 57770 · 261Q00000X
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 23,508 | 17,195 | $9.30M | |
| 99214 | 18,562 | 13,617 | $6.36M | |
| 99212 | 5,798 | 4,463 | $2.38M | |
| 99211 | 7,012 | 5,090 | $2.13M | |
| 90471 | 4,058 | 3,097 | $1.67M | |
| D1206 | 3,707 | 3,628 | $1.28M | |
| D0140 | 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 | 3,601 | 3,442 | $731K | |
| W0037 | 25,143 | 25,143 | $719K | |
| 0071A | 1,671 | 1,367 | $654K | |
| A0425 | Ground mileage | 5,843 | 4,595 | $599K |
| 0072A | 1,592 | 1,257 | $574K | |
| 99391 | 1,138 | 847 | $496K | |
| A0428 | Bls | 2,464 | 2,103 | $336K |
| 99392 | 563 | 483 | $279K | |
| A0426 | Als 1 | 1,675 | 1,497 | $272K |
| 99394 | 455 | 451 | $237K | |
| A0427 | Als1-emergency | 946 | 880 | $236K |
| D7140 | 2,479 | 1,744 | $221K | |
| D1351 | 2,423 | 547 | $213K | |
| D1120 | 1,119 | 1,104 | $212K | |
| 90832 | 355 | 270 | $205K | |
| 0003A | 462 | 387 | $193K | |
| 47900 | 829 | 490 | $191K | |
| 99393 | 348 | 323 | $187K | |
| 90834 | 255 | 218 | $140K | |
| 90837 | 361 | 247 | $139K | |
| 0011A | 1,652 | 252 | $122K | |
| 99384 | 269 | 257 | $120K | |
| 00001 | 377 | 369 | $116K | |
| A0429 | Bls-emergency | 542 | 507 | $115K |
| 99381 | 493 | 419 | $113K | |
| 0012A | 1,269 | 211 | $99K | |
| 99281 | 660 | 456 | $85K | |
| 0081A | 216 | 185 | $83K | |
| 99506 | 178 | 176 | $81K | |
| S0215 | Nonemerg transp mileage | 1,120 | 689 | $78K |
| 99383 | 158 | 158 | $73K | |
| D0603 | 785 | 785 | $62K | |
| 0054A | 102 | 101 | $58K | |
| D0150 | 289 | 289 | $49K | |
| D0274 | 178 | 178 | $47K | |
| 65400 | 72 | 71 | $46K | |
| 0082A | 152 | 136 | $45K | |
| D0210 | 231 | 231 | $44K | |
| 99382 | 109 | 105 | $42K | |
| 99600 | 86 | 76 | $41K | |
| 98968 | 813 | 647 | $41K | |
| D1110 | 216 | 214 | $33K | |
| 99284 | 2,054 | 1,283 | $33K | |
| 90791 | 59 | 50 | $30K | |
| 0031A | 87 | 77 | $30K | |
| D0330 | 148 | 148 | $26K | |
| D2940 | 383 | 163 | $26K | |
| 0052A | 56 | 56 | $26K | |
| 0004A | 139 | 87 | $22K | |
| 00000 | 34 | 34 | $22K | |
| D0230 | 1,839 | 1,019 | $17K | |
| 0124A | 57 | 55 | $17K | |
| 0051A | 26 | 26 | $16K | |
| 0013A | 61 | 40 | $15K | |
| 0083A | 23 | 23 | $14K | |
| 99283 | 1,342 | 918 | $13K | |
| D1353 | 91 | 48 | $11K | |
| 0064A | 27 | 16 | $9K | |
| 0073A | 15 | 15 | $8K | |
| 92014 | 64 | 24 | $8K | |
| 99285 | 229 | 202 | $8K | |
| T1015 | Clinic service | 14 | 13 | $8K |
| 74177 | 28 | 26 | $4K | |
| D2140 | 17 | 14 | $4K | |
| 99442 | 411 | 299 | $3K | |
| A0120 | Noner transport mini-bus | 1,048 | 693 | $3K |
| 96372 | 45 | 21 | $3K | |
| 71046 | 19 | 17 | $2K | |
| 93010 | 1,035 | 732 | $2K | |
| 98967 | 100 | 85 | $2K | |
| 70450 | 54 | 40 | $1K | |
| 71045 | 799 | 554 | $1K | |
| 99203 | 26 | 25 | $765.77 | |
| 99441 | 94 | 72 | $704.90 | |
| 87635 | 35 | 32 | $205.22 | |
| 99223 | Prolong inpt eval add15 m | 103 | 80 | $204.94 |
| 98966 | 34 | 31 | $175.92 | |
| 99222 | 48 | 31 | $126.72 | |
| T2001 | N-et; patient attend/escort | 89 | 78 | $76.88 |
| 90480 | 19 | 19 | $5.05 | |
| G0463 | Hospital outpt clinic visit | 511 | 380 | $0.00 |
| 90686 | 41 | 27 | $0.00 | |
| 90647 | 22 | 13 | $0.00 | |
| 91307 | 150 | 105 | $0.00 | |
| 99239 | 24 | 17 | $0.00 | |
| 99460 | 22 | 13 | $0.00 | |
| Q3014 | Telehealth facility fee | 34 | 33 | $0.00 |
| 90651 | 17 | 12 | $0.00 | |
| 81001 | 35 | 17 | $0.00 | |
| 99238 | 234 | 158 | $0.00 | |
| 90472 | 53 | 33 | $0.00 | |
| 91300 | 263 | 225 | $0.00 | |
| 99231 | 380 | 105 | $0.00 | |
| 90670 | 26 | 15 | $0.00 |