Hospital
Prairie Lakes Health Care System INC
Prairie Lakes Health Care System INC was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.
33Billing provider infoPRAIRIE LAKES HEALTH CARE SYSTEM INC
WATERTOWN, SD 57201
WATERTOWN, SD 57201
33aNPI1720166002assigned 11/02/2006
33bProvider typeRural Acute Care Hospital
28Total paid$2.01M
24GClaims59,681
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more
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 | 8,048 | $217K | |
| 2019 | 6,125 | $211K | |
| 2020 | 17,923 | $410K | |
| 2021 | 5,720 | $227K | |
| 2022 | 6,574 | $266K | |
| 2023 | 6,774 | $272K | |
| 2024incomplete | 8,517 | $407K |
Box 24 · Service lines
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 | 24% | 10,312 | 8,270 | $481K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 4,409 | 3,233 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 7,582 | 6,248 | $203K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 2,996 | 2,614 | $160K |
| 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 | 7.2% | 3,821 | 3,167 | $145K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.8% | 3,683 | 3,163 | $96K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 3.4% | 637 | 578 | $68K |
| 90961 | 3.1% | 744 | 694 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 2,734 | 2,328 | $57K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 2.5% | 2,815 | 94 | $51K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 671 | 621 | $48K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.0% | 646 | 468 | $40K |
82 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 1,025 | $32K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.6% | 1,543 | $31K |
| A0427 | Emergency ambulance ride, advanced life support | 1.2% | 263 | $25K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 418 | $20K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,890 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 525 | $18K |
| 92567 | <1% | 1,300 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 243 | $17K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 197 | $15K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,965 | $13K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,073 | $13K |
| A0425 | Ground mileage, per statute mile | <1% | 513 | $10K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 330 | $10K |
| A9270 | Non-covered item or service | <1% | 318 | $8K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 186 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 72 | $6K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 61 | $6K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 67 | $6K |
| G0008 | Administration of influenza virus vaccine | <1% | 603 | $5K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 50 | $5K |
| 17110 | <1% | 92 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 169 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 222 | $4K |
| 90837 | Psychotherapy session, about an hour | <1% | 147 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 51 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 323 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 126 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 64 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 91 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 56 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 151 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 42 | $1K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 52 | $1K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 130 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 149 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 87 | $1K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 47 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 41 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 60 | $1K |
| 99217 | <1% | 46 | $1K | |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 89 | $895.50 |
| 92504 | <1% | 55 | $798.05 | |
| E1392 | Portable oxygen concentrator, rental | <1% | 97 | $740.13 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 73 | $736.26 |
| 20610 | <1% | 16 | $726.48 | |
| 11721 | <1% | 51 | $686.31 | |
| 69210 | <1% | 27 | $657.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | $619.28 |
| Q3014 | Telehealth originating site facility fee | <1% | 107 | $582.90 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 69 | $543.90 |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 29 | $481.05 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | $423.10 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | $418.76 |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 27 | $416.47 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 82 | $393.68 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 61 | $359.81 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 26 | $342.33 |
| A7035 | Headgear used with positive airway pressure device | <1% | 59 | $306.72 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 78 | $299.29 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 53 | $295.21 |
| E0570 | Nebulizer, with compressor | <1% | 95 | $262.74 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 92 | $254.57 |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 69 | $237.58 |
| 98940 | <1% | 45 | $226.03 | |
| 88304 | <1% | 25 | $186.94 | |
| 73610 | <1% | 15 | $165.22 | |
| 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 | $131.51 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 41 | $130.47 |
| 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% | 52 | $104.50 |
| 92134 | <1% | 14 | $88.48 | |
| K0001 | Standard wheelchair | <1% | 12 | $69.02 |
| 94727 | <1% | 14 | $66.66 | |
| 76937 | <1% | 15 | $43.05 | |
| 36410 | <1% | 20 | $35.34 | |
| 92015 | Determination of refractive state | <1% | 14 | $20.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 56 | $6.72 |
| 4255F | <1% | 898 | $0.02 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 24 | $0.00 |
| 0521F | 0% | 64 | $0.00 | |
| 1125F | 0% | 67 | $0.00 | |
| 1126F | 0% | 23 | $0.00 | |
| 4086F | 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 officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | $50.18M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $47.45M |
| Sanford Bismarck | Bismarck, ND | $43.96M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $27.11M |
| Sanford Medical Center | Sioux Falls, SD | $24.40M |
| FM Ambulance Service, INC | Fargo, ND | $23.80M |
| Sanford Medical Center | Sioux Falls, SD | $18.03M |
| Sanford Health Network | Worthington, MN | $7.58M |
| Sanford Clinic | Sioux Falls, SD | $6.04M |
| Sanford Clinic | Sioux Falls, SD | $5.45M |
| Sanford Healthcare Accessories, LLC | Fargo, ND | $4.79M |
| Sanford Health Network North | Thief River Falls, MN | $3.28M |
| Sanford Clinic | Sioux Falls, SD | $2.96M |
| Sanford Health Network | Jackson, MN | $2.81M |
| Sanford Clinic | Watertown, SD | $2.02M |
| Black Hills Orthopedic & Spine Center, INC. | Rapid City, SD | $1.71M |
| Sanford Health Network | Chamberlain, SD | $1.47M |
| Sanford Health Network | Vermillion, SD | $1.31M |
| Sanford Health Network | Luverne, MN | $1.27M |
| Sanford Medical Center Fargo | Pelican Rapids, MN | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.