Clinic
Fort Thompson Indian Health Service
Fort Thompson Indian Health Service was paid $10.82M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoFORT THOMPSON INDIAN HEALTH SERVICE
FORT THOMPSON, SD 57339
FORT THOMPSON, SD 57339
33aNPI1710995907assigned 08/03/2006
33bProvider typeClinic/Center
28Total paid$10.82M
24GClaims54,845
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#2 of 29
Median peer was paid$79K
This provider vs. median136×
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 | 1,904 | $130K | |
| 2019 | 2,073 | $154K | |
| 2020 | 888 | $64K | |
| 2021 | 11,584 | $2.27M | |
| 2022 | 12,756 | $2.38M | |
| 2023 | 13,115 | $2.85M | |
| 2024incomplete | 12,525 | $2.98M |
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 | 49% | 11,150 | 9,253 | $5.34M |
| 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 | 11% | 2,397 | 2,177 | $1.19M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.3% | 1,652 | 1,470 | $903K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 3,182 | 2,954 | $420K |
| D1206 | Topical application of fluoride varnish | 3.0% | 1,166 | 1,160 | $330K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.8% | 571 | 564 | $298K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 507 | 459 | $296K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 664 | 565 | $249K |
| S0215 | Non-emergency transportation; mileage, per mile | 2.1% | 2,146 | 1,113 | $226K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 560 | 531 | $195K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 551 | 504 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 291 | 269 | $158K |
80 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,313 | $137K |
| W0037 | 1.0% | 4,625 | $113K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 185 | $111K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 137 | $77K |
| 0002A | <1% | 151 | $72K | |
| 0001A | <1% | 144 | $67K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,504 | $55K |
| 0012A | <1% | 92 | $46K | |
| 0031A | <1% | 79 | $38K | |
| D1120 | Dental cleaning, child | <1% | 149 | $32K |
| 0011A | <1% | 80 | $30K | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 3,249 | $25K |
| 42700 | <1% | 60 | $24K | |
| 99600 | Unlisted home visit service or procedure | <1% | 60 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 118 | $21K |
| 0072A | <1% | 33 | $20K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 940 | $18K |
| A0425 | Ground mileage, per statute mile | <1% | 145 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 102 | $13K |
| 0052A | <1% | 18 | $12K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 46 | $11K |
| 92015 | Determination of refractive state | <1% | 843 | $10K |
| 0071A | <1% | 37 | $8K | |
| D0274 | Bitewings - four radiographic images | <1% | 41 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 40 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 1,813 | $7K |
| 81003 | <1% | 1,452 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 29 | $7K |
| 82270 | <1% | 13 | $6K | |
| 0051A | <1% | 12 | $6K | |
| 0064A | <1% | 30 | $6K | |
| D1351 | Sealant - per tooth | <1% | 99 | $4K |
| 85014 | <1% | 91 | $4K | |
| 81025 | <1% | 315 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 98 | $3K |
| 0134A | <1% | 15 | $3K | |
| 90686 | <1% | 1,526 | $2K | |
| 80061 | Lipid panel | <1% | 268 | $1K |
| 0054A | <1% | 25 | $1K | |
| 87449 | <1% | 1,669 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 54 | $719.00 |
| 90656 | <1% | 310 | $719.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,364 | $654.00 |
| 90723 | <1% | 76 | $654.00 | |
| 90651 | <1% | 167 | $640.00 | |
| 87070 | <1% | 211 | $519.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 30 | $29.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,722 | $15.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 463 | $10.35 |
| 99188 | 0% | 228 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 403 | $0.00 |
| 90710 | 0% | 53 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 116 | $0.00 |
| 90670 | 0% | 123 | $0.00 | |
| 91300 | 0% | 138 | $0.00 | |
| 90633 | 0% | 48 | $0.00 | |
| 90734 | 0% | 117 | $0.00 | |
| 90715 | 0% | 119 | $0.00 | |
| 90756 | 0% | 39 | $0.00 | |
| 91312 | 0% | 14 | $0.00 | |
| 91322 | 0% | 98 | $0.00 | |
| 1 | Lens, 1.54-1.65 p/1.60-1.79g | 0% | 16 | $0.00 |
| 91313 | 0% | 15 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 0124A | 0% | 14 | $0.00 | |
| 90671 | 0% | 28 | $0.00 | |
| 90480 | 0% | 148 | $0.00 | |
| 91305 | 0% | 146 | $0.00 | |
| 85018 | 0% | 91 | $0.00 | |
| 91306 | 0% | 55 | $0.00 | |
| 87807 | 0% | 31 | $0.00 | |
| 91307 | 0% | 346 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 316 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 29 | $0.00 |
| 90647 | 0% | 64 | $0.00 | |
| D0603 | 0% | 15 | $0.00 | |
| 90739 | 0% | 30 | $0.00 | |
| 90620 | 0% | 77 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 13 | $0.00 |
| 91303 | 0% | 23 | $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 officialLONG, MADONNA (CHIEF EXECUTIVE OFFICER)