EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
NPI: 1558395848
· EAGLE BUTTE, SD 57625
· 251K00000X
$19.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,952 |
$2.22M |
| 2019 |
9,593 |
$2.40M |
| 2020 |
6,096 |
$1.79M |
| 2021 |
10,901 |
$2.84M |
| 2022 |
11,102 |
$3.66M |
| 2023 |
10,422 |
$3.10M |
| 2024 |
9,254 |
$3.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
20,423 |
17,180 |
$8.77M |
| 99211 |
|
4,957 |
4,331 |
$2.69M |
| 99214 |
|
5,725 |
4,970 |
$2.64M |
| 99212 |
|
6,739 |
4,689 |
$1.54M |
| A0425 |
Ground mileage |
3,474 |
2,860 |
$759K |
| 99215 |
Prolong outpt/office vis |
1,031 |
965 |
$548K |
| S0215 |
Nonemerg transp mileage |
3,478 |
1,524 |
$458K |
| 97110 |
|
628 |
292 |
$345K |
| 92014 |
|
545 |
532 |
$301K |
| A0429 |
Bls-emergency |
1,844 |
1,136 |
$255K |
| A0427 |
Als1-emergency |
1,470 |
971 |
$233K |
| W0037 |
|
7,811 |
7,811 |
$190K |
| 99392 |
|
138 |
137 |
$85K |
| 99281 |
|
1,788 |
1,326 |
$81K |
| 92004 |
|
277 |
258 |
$80K |
| 99391 |
|
105 |
96 |
$58K |
| 99394 |
|
90 |
90 |
$51K |
| A0380 |
Basic life support mileage |
155 |
145 |
$35K |
| A0428 |
Bls |
280 |
186 |
$29K |
| A0120 |
Noner transport mini-bus |
2,110 |
1,635 |
$20K |
| A0390 |
Advanced life support mileag |
71 |
65 |
$19K |
| 99393 |
|
29 |
29 |
$17K |
| 92002 |
|
19 |
19 |
$12K |
| 99283 |
|
1,688 |
997 |
$7K |
| G0463 |
Hospital outpt clinic visit |
74 |
52 |
$7K |
| 90471 |
|
49 |
47 |
$3K |
| 99203 |
|
28 |
24 |
$3K |
| 0001A |
|
303 |
247 |
$1K |
| 99284 |
|
38 |
37 |
$738.55 |
| 0012A |
|
49 |
48 |
$519.00 |
| 98966 |
|
21 |
20 |
$301.77 |
| 99282 |
|
14 |
12 |
$117.70 |
| 71046 |
|
114 |
69 |
$63.29 |
| G0008 |
Admin influenza virus vac |
100 |
33 |
$0.00 |
| 0011A |
|
63 |
46 |
$0.00 |
| 80053 |
|
28 |
23 |
$0.00 |
| 85025 |
|
50 |
43 |
$0.00 |
| 84443 |
|
22 |
19 |
$0.00 |
| 90686 |
|
21 |
20 |
$0.00 |
| 36415 |
|
35 |
25 |
$0.00 |
| 83036 |
|
22 |
19 |
$0.00 |
| 0501F |
|
33 |
14 |
$0.00 |
| 90472 |
|
22 |
22 |
$0.00 |
| 0502F |
|
31 |
13 |
$0.00 |
| 0002A |
|
269 |
192 |
$0.00 |
| 91300 |
|
33 |
32 |
$0.00 |
| 81003 |
|
26 |
20 |
$0.00 |