Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIONEER MEMORIAL HOSPITAL &HEALTH SERVICES

NPI: 1528017662 · CENTERVILLE, SD 57014 · Rural Health Clinic/Center · NPI assigned 05/08/2006

$99K
Total Medicaid Paid
1,402
Total Claims
1,186
Beneficiary Records
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGERDES, ISAAC (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/08/2006

Related Entities

Other providers sharing the same authorized official: GERDES, ISAAC

ProviderCityStateTotal Paid
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES VIBORG SD $281K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122 $10K
2019 308 $25K
2020 102 $9K
2021 160 $14K
2022 135 $9K
2023 298 $14K
2024 277 $17K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,064 851 $95K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $1K
W0037 257 257 $771.00
90686 12 12 $456.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 27 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $0.00