Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHEYENNE RIVER SIOUX TRIBE

NPI: 1649412966 · FAITH, SD 57626 · Primary Care Clinic/Center · NPI assigned 04/01/2009

$5K
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2024-08
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
WHITE HORSE TRIBAL HEALTH CENTER WHITE HORSE SD $33K
CHEYENNE RIVER SIOUX TRIBE BEHAVORIAL HEALTH EAGLE BUTTE SD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 15 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 15 $5K