Clinic
Pioneer Memorial Hospital & Health Services
Pioneer Memorial Hospital & Health Services was paid $281K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoPIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
VIBORG, SD 57070
VIBORG, SD 57070
33aNPI1619926706assigned 05/08/2006
33bProvider typeRural Health Clinic/Center
28Total paid$281K
24GClaims4,310
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#15 of 42
Median peer was paid$131K
This provider vs. median2.1×
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 | 675 | $48K | |
| 2019 | 453 | $38K | |
| 2020 | 421 | $32K | |
| 2021 | 522 | $38K | |
| 2022 | 645 | $35K | |
| 2023 | 746 | $36K | |
| 2024incomplete | 848 | $54K |
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 | 89% | 3,073 | 2,458 | $248K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.9% | 194 | 164 | $17K |
| 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 | 2.5% | 102 | 82 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 50 | 50 | $3K |
| W0037 | <1% | 536 | 536 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 110 | 104 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 14 | $2K |
| 90686 | <1% | 20 | 20 | $570.20 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 102 | 89 | $0.00 |
| 86328 | 0% | 13 | 13 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 81 | 74 | $0.00 |
| 90656 | 0% | 15 | 15 | $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 officialGERDES, ISAAC (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pioneer Memorial Hospital &Health Services | Centerville, SD | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.