Fort Yates Indian Health Service Hospital

Fort Yates Indian Health Service Hospital was paid $3.22M by Medicaid between Jan 2018 and Aug 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

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	1,034	$215K
2019	1,458	$340K
2020	427	$71K
2021	1,960	$744K
2022	2,900	$835K
2023	1,903	$621K
2024incomplete	1,173	$398K

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	39%	2,651	2,380	$1.26M
D1206	Topical application of fluoride varnish	11%	1,888	1,845	$350K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	6.6%	398	397	$212K
D1120	Dental cleaning, childProphylaxis - child	6.0%	574	574	$194K
D0140	Limited oral evaluation - problem focused	4.7%	475	452	$153K
0011A		3.1%	211	210	$99K
0012A		3.1%	193	190	$99K
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	3.1%	158	153	$98K
0071A		2.8%	158	158	$90K
0072A		2.6%	134	133	$84K
0001A		2.5%	144	144	$79K
0052A		2.4%	127	126	$76K

13 more codes

W0037		2.2%	2,128	$71K
0002A		1.9%	118	$63K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.7%	126	$56K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	153	$54K
D1110	Prophylaxis - adult	1.6%	171	$51K
D1351	Sealant - per tooth	1.4%	570	$47K
0051A		1.2%	62	$37K
D0220	Intraoral - periapical first radiographic image	<1%	333	$31K
90834	Psychotherapy session, about 45 minutes	<1%	14	$10K
D0210	Intraoral - complete series of radiographic images	<1%	15	$6K
D0150	Comprehensive oral evaluation - new or established patient	<1%	25	$6K
D0274	Bitewings - four radiographic images	<1%	13	$910.00
D7140	Extraction, erupted tooth or exposed root	0%	16	$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 officialFISCHER, TRINA (BUSINESS OFFICE MANAGER)

Parent organizationFORT YATES INDIAN HEALTH SERVICE HOSPITAL