Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mitchell Clinic LTD

Mitchell Clinic LTD was paid $619K by Medicaid between Jan 2018 and Dec 2024, across 117 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoMITCHELL CLINIC LTD
MITCHELL, SD 57301
33aNPI1669410627assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$619K
24GClaims39,441
24DCodes billed117
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in South Dakota

Rank by total paid#8 of 40
Median peer was paid$144K
This provider vs. median4.3×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20186,083$67K
20195,136$60K
202015,793$258K
20214,315$78K
20223,785$62K
20232,261$45K
2024incomplete2,068$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 7,492 5,955 $240K
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 21% 3,423 3,039 $131K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.9% 243 226 $18K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.3% 592 200 $14K
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 2.0% 1,015 24 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.8% 634 59 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.6% 904 419 $10K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.5% 288 145 $9K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.5% 387 239 $9K
99308 Subsequent nursing facility care, per day, straightforward 1.5% 482 397 $9K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.4% 378 134 $8K
A9270 Non-covered item or service 1.3% 212 26 $8K
105 more codes
99232 Hospital visit by a doctor, follow-up day 1.3% 546 $8K
36415 Collection of venous blood by venipuncture <1% 3,456 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 143 $6K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate <1% 238 $6K
85004 <1% 960 $6K
A0429 Emergency ambulance ride, basic life support <1% 54 $5K
99215 Doctor's office visit, returning patient (complex) <1% 129 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 126 $4K
90834 Psychotherapy session, about 45 minutes <1% 312 $4K
A0425 Ground mileage, per statute mile <1% 89 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 1,437 $4K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 411 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 737 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 83 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 422 $3K
71046 Radiologic examination, chest; 2 views <1% 258 $3K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) <1% 14 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 56 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 134 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 80 $3K
87400 <1% 181 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 53 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 119 $2K
99223 Prolong inpt eval add15 m <1% 57 $2K
85048 <1% 958 $2K
99222 Initial hospital care, per day, moderate complexity <1% 78 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 215 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 99 $2K
99204 Doctor's office visit, new patient (more involved) <1% 56 $2K
90832 Psychotherapy session, about 30 minutes <1% 169 $2K
99203 Doctor's office visit, new patient (routine) <1% 90 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 112 $2K
W0037 <1% 524 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 36 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 310 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 174 $2K
93922 <1% 67 $1K
A0427 Emergency ambulance ride, advanced life support <1% 13 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 57 $1K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days <1% 41 $1K
G0008 Administration of influenza virus vaccine <1% 247 $972.01
83721 <1% 344 $813.63
84443 Thyroid stimulating hormone (TSH) <1% 71 $699.20
92134 <1% 36 $697.00
99239 Hospital discharge day management, more than 30 minutes <1% 25 $678.55
E0601 Continuous positive airway pressure (cpap) device <1% 58 $650.36
98940 <1% 125 $623.53
Q3014 Telehealth originating site facility fee <1% 35 $564.28
36416 <1% 291 $504.64
11721 <1% 49 $469.99
71045 Radiologic examination, chest; single view <1% 207 $464.57
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 28 $444.43
E1392 Portable oxygen concentrator, rental <1% 56 $431.20
85027 <1% 118 $415.74
90472 Immunization administration, each additional vaccine (list separately) <1% 26 $385.38
99442 <1% 33 $382.59
80076 <1% 156 $373.69
93971 <1% 45 $347.42
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 20 $314.93
67028 Intravitreal injection of a pharmacologic agent <1% 12 $270.39
90853 Group psychotherapy (other than of a multiple-family group) <1% 46 $254.84
70450 Computed tomography, head or brain; without contrast material <1% 33 $252.88
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 33 $249.23
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 51 $237.72
99307 <1% 18 $228.33
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 18 $210.48
82550 <1% 119 $204.95
E0562 Humidifier, heated, used with positive airway pressure device <1% 35 $196.28
73030 <1% 12 $190.23
83735 <1% 98 $159.92
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 15 $149.61
90688 <1% 48 $149.52
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 59 $143.60
80061 Lipid panel <1% 40 $132.00
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 16 $122.22
E0570 Nebulizer, with compressor <1% 44 $90.19
A7035 Headgear used with positive airway pressure device <1% 15 $78.63
K0001 Standard wheelchair <1% 12 $72.24
A7038 Filter, disposable, used with positive airway pressure device <1% 21 $69.22
81003 <1% 48 $57.53
99152 <1% 17 $41.67
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 12 $34.68
74018 <1% 15 $33.96
83036 Hemoglobin; glycosylated (A1C) <1% 12 $31.26
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 14 $25.31
3017F 0% 282 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,136 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 1,643 $0.00
1036F 0% 1,688 $0.00
90686 0% 29 $0.00
99000 0% 53 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 17 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 16 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 771 $0.00
4040F 0% 1,075 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 84 $0.00
92015 Determination of refractive state 0% 36 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 443 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 44 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 49 $0.00
G9990 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 40 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 14 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 13 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 0% 13 $0.00
4004F 0% 18 $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 officialKUMMER, TIFFANY (OFFICE MANAGER)