Clinic
City of Sioux Falls
City of Sioux Falls was paid $211K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoCITY OF SIOUX FALLS
SIOUX FALLS, SD 57107
SIOUX FALLS, SD 57107
33aNPI1508103243assigned 01/15/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$211K
24GClaims2,133
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Dakota
Rank by total paid#19 of 39
Median peer was paid$185K
This provider vs. median1.1×
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 | 232 | $28K | |
| 2019 | 72 | $10K | |
| 2021 | 60 | $6K | |
| 2022 | 283 | $29K | |
| 2023 | 1,033 | $85K | |
| 2024incomplete | 453 | $52K |
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 | 62% | 1,130 | 890 | $131K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 186 | 180 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 129 | 117 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 45 | 39 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 37 | 34 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 61 | 32 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 42 | 30 | $5K |
| D1351 | Sealant - per tooth | 1.7% | 210 | 29 | $4K |
| D1110 | Prophylaxis - adult | <1% | 25 | 25 | $757.84 |
| D1206 | Topical application of fluoride varnish | <1% | 90 | 85 | $189.46 |
| 36415 | Collection of venous blood by venipuncture | 0% | 58 | 54 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 74 | 62 | $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 | $288K |
| 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.