PRAIRIE LAKES HEALTH CARE SYSTEM INC
NPI: 1659316214
· WATERTOWN, SD 57201
· 282NR1301X
$703K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,978 |
$116K |
| 2019 |
4,885 |
$147K |
| 2020 |
2,548 |
$72K |
| 2021 |
4,505 |
$128K |
| 2022 |
3,314 |
$86K |
| 2023 |
2,337 |
$75K |
| 2024 |
1,649 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
5,033 |
4,347 |
$255K |
| G0463 |
Hospital outpt clinic visit |
8,070 |
2,875 |
$112K |
| J7120 |
Ringers lactate infusion |
250 |
220 |
$100K |
| 93005 |
|
6,533 |
585 |
$75K |
| 36415 |
|
903 |
749 |
$51K |
| 99283 |
|
1,592 |
1,381 |
$41K |
| 85025 |
|
646 |
582 |
$24K |
| 96374 |
|
60 |
53 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
585 |
182 |
$10K |
| 87502 |
|
66 |
64 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
67 |
65 |
$7K |
| J7040 |
Normal saline solution infus |
14 |
14 |
$5K |
| 87631 |
|
22 |
22 |
$3K |
| 51798 |
|
50 |
13 |
$1K |
| 80053 |
|
170 |
158 |
$953.28 |
| 81001 |
|
44 |
36 |
$905.14 |
| 83690 |
|
12 |
12 |
$488.52 |
| 99284 |
|
29 |
25 |
$481.30 |
| 86140 |
|
15 |
14 |
$245.04 |
| J3490 |
Drugs unclassified injection |
42 |
16 |
$0.00 |
| 84484 |
|
13 |
12 |
$0.00 |