Hospital
PHS Indian Hospital
PHS Indian Hospital was paid $59.43M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99283, emergency room visit (moderate) — 22% of everything it billed.
33Billing provider infoPHS INDIAN HOSPITAL
RED LAKE, MN 56671
RED LAKE, MN 56671
33aNPI1508809765assigned 06/14/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$59.43M
24GClaims135,244
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Minnesota
Rank by total paid#2 of 36
Median peer was paid$11.46M
This provider vs. median5.2×
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 | 18,968 | $6.51M | |
| 2019 | 19,408 | $7.23M | |
| 2020 | 18,869 | $6.44M | |
| 2021 | 30,119 | $11.32M | |
| 2022 | 20,478 | $11.30M | |
| 2023 | 15,568 | $8.90M | |
| 2024incomplete | 11,834 | $7.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 28,137 | 25,129 | $13.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 25,261 | 23,158 | $12.77M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 10,893 | 10,408 | $6.14M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 10% | 17,108 | 13,223 | $6.07M |
| 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 | 5.2% | 6,496 | 6,205 | $3.06M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.3% | 5,530 | 5,069 | $2.54M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 3,309 | 3,141 | $1.45M |
| 99441 | 2.3% | 2,798 | 2,583 | $1.36M | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.3% | 2,723 | 2,697 | $1.34M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 2,559 | 2,022 | $1.14M |
| 99442 | 1.5% | 1,870 | 1,704 | $901K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.5% | 1,640 | 1,615 | $862K |
56 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,566 | $706K |
| 0001A | 1.1% | 1,269 | $628K | |
| 0002A | <1% | 1,123 | $562K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 926 | $468K |
| 0054A | <1% | 690 | $424K | |
| 0012A | <1% | 893 | $422K | |
| 0011A | <1% | 930 | $416K | |
| 0064A | <1% | 787 | $414K | |
| 99606 | <1% | 958 | $408K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 607 | $347K |
| D0140 | Limited oral evaluation - problem focused | <1% | 784 | $327K |
| 0071A | <1% | 601 | $320K | |
| D0120 | Dental checkup, returning patient | <1% | 774 | $319K |
| D1120 | Dental cleaning, child | <1% | 878 | $311K |
| 0072A | <1% | 514 | $293K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 475 | $259K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 888 | $243K |
| 99443 | <1% | 439 | $218K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 470 | $177K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 430 | $175K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 359 | $157K |
| 0052A | <1% | 216 | $134K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 174 | $109K |
| D1110 | Prophylaxis - adult | <1% | 368 | $93K |
| 0051A | <1% | 143 | $89K | |
| 99205 | Prolong outpt/office vis | <1% | 117 | $73K |
| 90686 | <1% | 561 | $66K | |
| 96156 | <1% | 122 | $49K | |
| 0003A | <1% | 84 | $44K | |
| 99605 | <1% | 105 | $44K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 78 | $42K |
| 0074A | <1% | 67 | $42K | |
| D1206 | Topical application of fluoride varnish | <1% | 46 | $30K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 58 | $22K |
| D2940 | <1% | 29 | $21K | |
| 96158 | <1% | 67 | $16K | |
| 0031A | <1% | 18 | $8K | |
| 99285 | Emergency room visit (most serious) | <1% | 12 | $5K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 4,017 | $3K |
| 90688 | <1% | 66 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,378 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 228 | $1K |
| 99221 | <1% | 12 | $836.88 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 32 | $100.28 |
| D7110 | 0% | 69 | $0.00 | |
| 99607 | 0% | 12 | $0.00 | |
| 96150 | 0% | 93 | $0.00 | |
| 99000 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 29 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 20 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 72 | $0.00 |
| 0 | Res change sc >=0 | 0% | 22 | $0.00 |
| 96152 | 0% | 94 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 78 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 29 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 27 | $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 officialTHUNDER, JANICE (BUSINESS OFFICE MANAGER)