NP / PA
Wagner Community Memorial Hospital
Wagner Community Memorial Hospital was paid $497K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoWAGNER COMMUNITY MEMORIAL HOSPITAL
WAGNER, SD 57380
WAGNER, SD 57380
33aNPI1740306992assigned 03/21/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$497K
24GClaims15,349
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in South Dakota
Rank by total paid#1 of 6
Median peer was paid$38K
This provider vs. median13×
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 | 1,315 | $32K | |
| 2019 | 1,641 | $42K | |
| 2020 | 921 | $24K | |
| 2021 | 1,434 | $41K | |
| 2022 | 1,671 | $48K | |
| 2023 | 3,804 | $110K | |
| 2024incomplete | 4,563 | $200K |
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 | 28% | 3,169 | 2,755 | $142K |
| 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 | 12% | 816 | 707 | $59K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 910 | 835 | $51K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 1,738 | 1,644 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.9% | 1,838 | 1,614 | $49K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.9% | 451 | 237 | $34K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 6.0% | 1,307 | 1,222 | $30K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.9% | 298 | 274 | $29K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 168 | 96 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 751 | 707 | $8K |
| W0037 | 1.3% | 2,190 | 2,190 | $7K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 931 | 721 | $6K |
10 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 50 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 208 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 20 | $1K |
| 90686 | <1% | 237 | $721.33 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $691.98 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 40 | $278.82 |
| 90656 | <1% | 56 | $252.52 | |
| 90734 | <1% | 74 | $143.51 | |
| 90651 | 0% | 52 | $0.00 | |
| 90715 | 0% | 32 | $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 officialKOUPAL, BERNADETTE (BUS. OFFICE MANAGER)