Clinic
Philip Health Services, INC.
Philip Health Services, INC. was paid $428K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoPHILIP HEALTH SERVICES, INC.
PHILIP, SD 57567
PHILIP, SD 57567
33aNPI1700838117assigned 05/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$428K
24GClaims6,246
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#10 of 42
Median peer was paid$131K
This provider vs. median3.3×
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
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 | 502 | $39K | |
| 2019 | 707 | $52K | |
| 2020 | 431 | $36K | |
| 2021 | 884 | $66K | |
| 2022 | 974 | $73K | |
| 2023 | 1,233 | $62K | |
| 2024incomplete | 1,515 | $101K |
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 | 86% | 4,714 | 3,414 | $370K |
| 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 | 7.6% | 422 | 334 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 347 | 240 | $23K |
| W0037 | <1% | 732 | 732 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 18 | 12 | $807.84 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 13 | 13 | $24.60 |
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 officialCADWELL, MAUREEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Weston County Hospital District | Newcastle, WY | $606K |
| Philip Health Services, INC | Kadoka, SD | $14K |
| Weston County Hospital District | Newcastle, WY | $9K |
| Weston County Hospital District | Newcastle, WY | $6K |
| Philip Health Services, INC. | Philip, SD | $1K |
| Philip Clinic | Philip, SD | $772.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.