Clinic
American Advanced Practice Network, P.C.
American Advanced Practice Network, P.C. was paid $400K by Medicaid between Dec 2019 and Feb 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoAMERICAN ADVANCED PRACTICE NETWORK, P.C.
WATERTOWN, SD 57201
WATERTOWN, SD 57201
33aNPI1790244341assigned 03/13/2019
33bProvider typeUrgent Care Clinic/Center
28Total paid$400K
24GClaims18,449
24DCodes billed26
24AFirst – last monthDec 2019 – Feb 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Dakota
Rank by total paid#4 of 6
Median peer was paid$400K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 20 | $197.04 | |
| 2020 | 2,711 | $81K | |
| 2021 | 2,910 | $63K | |
| 2022 | 8,601 | $170K | |
| 2023 | 4,190 | $85K | |
| 2024incomplete | 17 | $81.22 |
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 | 33% | 6,602 | 3,964 | $130K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 2,481 | 1,641 | $80K |
| 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 | 13% | 1,396 | 944 | $54K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 8.4% | 2,449 | 1,491 | $34K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.2% | 1,417 | 1,053 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.3% | 655 | 366 | $21K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 4.7% | 611 | 511 | $19K |
| 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 | 2.5% | 226 | 147 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.4% | 454 | 239 | $10K |
| 87634 | <1% | 94 | 79 | $3K | |
| 87631 | <1% | 47 | 25 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 504 | 355 | $3K |
14 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 305 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 107 | $1K |
| 96127 | <1% | 183 | $1K | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 94 | $1K |
| 96160 | <1% | 135 | $569.90 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 71 | $564.41 |
| 87807 | <1% | 142 | $497.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $365.91 |
| 81002 | <1% | 189 | $216.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $124.20 |
| 99422 | <1% | 24 | $58.72 | |
| 0011A | <1% | 13 | $28.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 90 | $6.11 |
| H0033 | Oral medication administration, direct observation | 0% | 25 | $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 officialEWALT, ALLEN (OPERATIONS DIRECTOR)