Agency
Eagle Butte Indian Health Service Hospital
Eagle Butte Indian Health Service Hospital was paid $19.23M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoEAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
EAGLE BUTTE, SD 57625
EAGLE BUTTE, SD 57625
33aNPI1558395848assigned 07/10/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$19.23M
24GClaims66,320
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in South Dakota
Rank by total paid#1 of 5
Median peer was paid$2K
This provider vs. median8,123×
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 | 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 | |
| 2024incomplete | 9,254 | $3.22M |
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 | 46% | 20,423 | 17,180 | $8.77M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 14% | 4,957 | 4,331 | $2.69M |
| 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 | 14% | 5,725 | 4,970 | $2.64M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.0% | 6,739 | 4,689 | $1.54M |
| A0425 | Ground mileage, per statute mile | 3.9% | 3,474 | 2,860 | $759K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,031 | 965 | $548K |
| S0215 | Non-emergency transportation; mileage, per mile | 2.4% | 3,478 | 1,524 | $458K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.8% | 628 | 292 | $345K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 545 | 532 | $301K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 1.3% | 1,844 | 1,136 | $255K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.2% | 1,470 | 971 | $233K |
| W0037 | <1% | 7,811 | 7,811 | $190K |
35 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 138 | $85K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 1,788 | $81K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 277 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 105 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 90 | $51K |
| A0380 | Bls mileage (per mile) | <1% | 155 | $35K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 280 | $29K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 2,110 | $20K |
| A0390 | Als mileage (per mile) | <1% | 71 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | $17K |
| 92002 | <1% | 19 | $12K | |
| 99283 | Emergency room visit (moderate) | <1% | 1,688 | $7K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 74 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 0001A | <1% | 303 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 38 | $738.55 |
| 0012A | <1% | 49 | $519.00 | |
| 98966 | <1% | 21 | $301.77 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 14 | $117.70 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 114 | $63.29 |
| G0008 | Administration of influenza virus vaccine | 0% | 100 | $0.00 |
| 0011A | 0% | 63 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 28 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 50 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 22 | $0.00 |
| 90686 | 0% | 21 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 35 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 22 | $0.00 |
| 0501F | 0% | 33 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 22 | $0.00 |
| 0502F | 0% | 31 | $0.00 | |
| 0002A | 0% | 269 | $0.00 | |
| 91300 | 0% | 33 | $0.00 | |
| 81003 | 0% | 26 | $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 officialKECKLER, JUSTIN (ACTING CEO)