Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAGNER COMMUNITY MEMORIAL HOSPITAL

NPI: 1740306992 · WAGNER, SD 57380 · Family Nurse Practitioner · NPI assigned 03/21/2007

$497K
Total Medicaid Paid
15,349
Total Claims
13,751
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOUPAL, BERNADETTE (BUS. OFFICE MANAGER)
NPI Enumeration Date03/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,315 $32K
2019 1,641 $42K
2020 921 $24K
2021 1,434 $41K
2022 1,671 $48K
2023 3,804 $110K
2024 4,563 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,169 2,755 $142K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 816 707 $59K
99283 Emergency department visit for the evaluation and management, moderate severity 910 835 $51K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,738 1,644 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,838 1,614 $49K
90834 Psychotherapy, 45 minutes with patient 451 237 $34K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,307 1,222 $30K
99284 Emergency department visit for the evaluation and management, high severity 298 274 $29K
90837 Psychotherapy, 53 minutes with patient 168 96 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 751 707 $8K
W0037 2,190 2,190 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 931 721 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 50 50 $4K
90472 Immunization administration, each additional vaccine (list separately) 208 200 $4K
90832 Psychotherapy, 30 minutes with patient 20 12 $1K
90686 237 227 $721.33
99238 Hospital discharge day management, 30 minutes or less 13 12 $691.98
96110 Developmental screening, with scoring and documentation, per standardized instrument 40 40 $278.82
90656 56 53 $252.52
90734 74 73 $143.51
90651 52 51 $0.00
90715 32 31 $0.00