Fall River Health Services
Fall River Health Services was paid $303K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
HOT SPRINGS, SD 57747
Next to other Critical Access Hospital providers in South Dakota
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 693 | $33K | |
| 2019 | 992 | $41K | |
| 2020 | 195 | $4K | |
| 2021 | 1,050 | $41K | |
| 2022 | 1,975 | $64K | |
| 2023 | 1,141 | $63K | |
| 2024incomplete | 860 | $57K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 2,379 | 1,161 | $114K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 31% | 2,359 | 271 | $94K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 594 | 193 | $35K |
| 36415 | Collection of venous blood by venipuncture | 9.8% | 327 | 235 | $30K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.5% | 295 | 278 | $20K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.8% | 190 | 85 | $5K |
| A9270 | Non-covered item or service | 1.0% | 251 | 64 | $3K |
| 87634 | <1% | 12 | 12 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 15 | $261.10 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 287 | 260 | $205.31 |
| 80053 | Comprehensive metabolic panel | 0% | 106 | 93 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 27 | 25 | $0.00 |
1 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 64 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| BBH WBMC, LLC | Jasper, AL | $5.92M |
| Mill Creek Manor, LLC | Statesville, NC | $4.66M |
| Miller's Rental & Sales Company, INC. | Cleveland, OH | $4.21M |
| BBH SBMC, LLC | Alabaster, AL | $3.55M |
| Millers Rental & Sales Company INC | Akron, OH | $3.54M |
| BBH PBMC, LLC | Birmingham, AL | $3.12M |
| BBH CBMC, LLC | Talladega, AL | $2.85M |
| Miller's Rental & Sales Company, INC. | Canton, OH | $1.76M |
| Miller's Rental & Sales Company, INC. | Youngstown, OH | $1.55M |
| ST Elizabeth Adult Day Care Center, INC. | Arnold, MO | $1.41M |
| Fall River Health Services | Hot Springs, SD | $1.36M |
| Columbia Falls Family Dental Center PC | Columbia Falls, MT | $1.20M |
| ST. Elizabeth Adult Day Care Center, INC. | Saint Louis, MO | $1.19M |
| Merrimack Dental Group | Lowell, MA | $1.01M |
| John A. Miller, DMD, LLC | Georgetown, SC | $918K |
| BBH BMC, LLC | Birmingham, AL | $805K |
| ST. Elizabeth Adult Day Care Center, INC. | Jennings, MO | $497K |
| Smile Montana Urgent Dental Center | Kalispell, MT | $353K |
| ST Elizabeth Adult Day Care Center | Saint Louis, MO | $259K |
| John Anderson Miller | Murrells Inlet, SC | $196K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.