Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › WATERTOWN › PRAIRIE LAKES HEALTH CARE SYSTEM INC

PRAIRIE LAKES HEALTH CARE SYSTEM INC

NPI: 1720166002 · WATERTOWN, SD 57201 · Rural Acute Care Hospital · NPI assigned 11/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$2.01M
Total Medicaid Paid
59,681
Total Claims
43,866
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,517 $407K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,312 8,270 $481K
99284 Emergency department visit for the evaluation and management, high severity 4,409 3,233 $260K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,582 6,248 $203K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,996 2,614 $160K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,821 3,167 $145K
99282 Emergency department visit for the evaluation and management, low to moderate severity 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 637 578 $68K
90961 744 694 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,734 2,328 $57K
90999 Unlisted dialysis procedure, inpatient or outpatient 2,815 94 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 671 621 $48K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 646 468 $40K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,025 906 $32K
99232 Subsequent hospital care, per day, moderate complexity 1,543 510 $31K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 263 218 $25K
99239 Hospital discharge day management, more than 30 minutes 418 364 $20K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,890 824 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 525 451 $18K
92567 1,300 1,151 $18K
99222 Initial hospital care, per day, moderate complexity 243 199 $17K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 197 175 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,965 2,362 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,073 92 $13K
A0425 Ground mileage, per statute mile 513 443 $10K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 330 330 $10K
A9270 Non-covered item or service 318 31 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 186 27 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 72 32 $6K
00170 Anesthesia for intraoral procedures, including biopsy 61 53 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 67 56 $6K
G0008 Administration of influenza virus vaccine 603 95 $5K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 50 48 $5K
17110 92 79 $4K
90834 Psychotherapy, 45 minutes with patient 169 126 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 222 107 $4K
90837 Psychotherapy, 53 minutes with patient 147 97 $3K
99223 Prolong inpt eval add15 m 51 49 $3K
71045 Radiologic examination, chest; single view 323 272 $2K
99308 Subsequent nursing facility care, per day, straightforward 126 102 $2K
70450 Computed tomography, head or brain; without contrast material 64 55 $2K
90832 Psychotherapy, 30 minutes with patient 91 77 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 56 56 $1K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 151 119 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 42 32 $1K
A7031 Face mask interface, replacement for full face mask, each 52 52 $1K
E0601 Continuous positive airway pressure (cpap) device 130 130 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 149 54 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 87 84 $1K
A7030 Full face mask used with positive airway pressure device, each 47 47 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41 37 $1K
71046 Radiologic examination, chest; 2 views 60 31 $1K
99217 46 39 $1K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 89 85 $895.50
92504 55 45 $798.05
E1392 Portable oxygen concentrator, rental 97 96 $740.13
A4604 Tubing with integrated heating element for use with positive airway pressure device 73 73 $736.26
20610 16 12 $726.48
11721 51 32 $686.31
69210 27 24 $657.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 75 72 $619.28
Q3014 Telehealth originating site facility fee 107 69 $582.90
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 69 44 $543.90
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 29 28 $481.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 12 $423.10
99238 Hospital discharge day management, 30 minutes or less 30 14 $418.76
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 27 27 $416.47
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 82 82 $393.68
90853 Group psychotherapy (other than of a multiple-family group) 61 28 $359.81
97530 Therapeutic activities, direct patient contact, each 15 minutes 26 12 $342.33
A7035 Headgear used with positive airway pressure device 59 59 $306.72
A7038 Filter, disposable, used with positive airway pressure device 78 78 $299.29
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 53 15 $295.21
E0570 Nebulizer, with compressor 95 95 $262.74
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 92 92 $254.57
E0562 Humidifier, heated, used with positive airway pressure device 69 69 $237.58
98940 45 39 $226.03
88304 25 24 $186.94
73610 15 13 $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 16 16 $131.51
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 41 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 52 50 $104.50
92134 14 13 $88.48
K0001 Standard wheelchair 12 12 $69.02
94727 14 13 $66.66
76937 15 13 $43.05
36410 20 18 $35.34
92015 Determination of refractive state 14 14 $20.49
36415 Collection of venous blood by venipuncture 56 53 $6.72
4255F 898 795 $0.02
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 24 24 $0.00
0521F 64 25 $0.00
1125F 67 25 $0.00
1126F 23 12 $0.00
4086F 16 13 $0.00