Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WHITE HORSE TRIBAL HEALTH CENTER

NPI: 1588806806 · WHITE HORSE, SD 57661 · Primary Care Clinic/Center · NPI assigned 04/01/2009

$33K
Total Medicaid Paid
56
Total Claims
49
Beneficiaries
1
Codes Billed
2020-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSIMON, RAMONA (TRIBAL HEALTH CEO)
NPI Enumeration Date04/01/2009

Related Entities

Other providers sharing the same authorized official: SIMON, RAMONA

ProviderCityStateTotal Paid
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC EAGLE BUTTE SD $7.97M
CHERRY CREEK TRIBAL HEALTH CENTER CHERRY CREEK SD $1.09M
CHEYENNE RIVER SIOUX TRIBE FAITH SD $5K
CHEYENNE RIVER SIOUX TRIBE BEHAVORIAL HEALTH EAGLE BUTTE SD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $6K
2023 21 $12K
2024 22 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 49 $33K