FORT YATES INDIAN HEALTH SERVICE HOSPITAL
NPI: 1609851039
· FORT YATES, ND 58538
· Rural Acute Care Hospital
· NPI assigned 12/08/2005
$9.98M
Total Medicaid Paid
Provider Details
| Authorized Official | GIPP, JANA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 12/08/2005 |
Related Entities
Other providers sharing the same authorized official: GIPP, JANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,094 |
$1.72M |
| 2019 |
3,920 |
$1.31M |
| 2020 |
3,189 |
$1.22M |
| 2021 |
4,534 |
$1.59M |
| 2022 |
3,144 |
$1.57M |
| 2023 |
3,042 |
$1.62M |
| 2024 |
1,514 |
$938K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,393 |
11,350 |
$5.99M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,094 |
5,246 |
$2.70M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,097 |
937 |
$348K |
| 42700 |
|
1,238 |
1,025 |
$263K |
| 45500 |
|
1,005 |
847 |
$218K |
| 51900 |
|
1,315 |
560 |
$194K |
| 47900 |
|
732 |
601 |
$172K |
| 90837 |
Psychotherapy, 53 minutes with patient |
127 |
98 |
$53K |
| D1206 |
Topical application of fluoride varnish |
69 |
61 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
214 |
183 |
$13K |
| W0037 |
|
141 |
141 |
$423.00 |
| 92002 |
|
12 |
12 |
$0.00 |