WAGNER COMMUNITY MEMORIAL HOSPITAL
NPI: 1740306992
· WAGNER, SD 57380
· 363LF0000X
$497K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,169 |
2,755 |
$142K |
| 99214 |
|
816 |
707 |
$59K |
| 99283 |
|
910 |
835 |
$51K |
| 99282 |
|
1,738 |
1,644 |
$50K |
| 99212 |
|
1,838 |
1,614 |
$49K |
| 90834 |
|
451 |
237 |
$34K |
| 99281 |
|
1,307 |
1,222 |
$30K |
| 99284 |
|
298 |
274 |
$29K |
| 90837 |
|
168 |
96 |
$21K |
| 90471 |
|
751 |
707 |
$8K |
| W0037 |
|
2,190 |
2,190 |
$7K |
| 93010 |
|
931 |
721 |
$6K |
| 99393 |
|
50 |
50 |
$4K |
| 90472 |
|
208 |
200 |
$4K |
| 90832 |
|
20 |
12 |
$1K |
| 90686 |
|
237 |
227 |
$721.33 |
| 99238 |
|
13 |
12 |
$691.98 |
| 96110 |
|
40 |
40 |
$278.82 |
| 90656 |
|
56 |
53 |
$252.52 |
| 90734 |
|
74 |
73 |
$143.51 |
| 90651 |
|
52 |
51 |
$0.00 |
| 90715 |
|
32 |
31 |
$0.00 |