Medicaid Provider Spending

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

WEST RIVER HEALTH SERVICES

NPI: 1801987904 · LEMMON, SD 57638 · Rural Health Clinic/Center · NPI assigned 09/27/2006

$355K
Total Medicaid Paid
5,345
Total Claims
4,412
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLONG, JAMES (CEO)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: LONG, JAMES

ProviderCityStateTotal Paid
SKIN DIAGNOSTICS GROUP PC BIRMINGHAM AL $210K
WEST RIVER HEALTH SERVICES BOWMAN ND $62K
WEST RIVER HEALTH SERVICES NEW ENGLAND ND $34K
WEST RIVER HEALTH SERVICES MOTT ND $9K
WEST RIVER HEALTH SERVICES SCRANTON ND $7K
WEST RIVER HEALTH SERVICES HETTINGER ND $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 987 $71K
2019 1,111 $77K
2020 480 $34K
2021 582 $39K
2022 576 $39K
2023 904 $50K
2024 705 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,810 2,220 $245K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 656 521 $54K
36415 Collection of venous blood by venipuncture 747 643 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 110 105 $8K
11721 129 125 $6K
99308 Subsequent nursing facility care, per day, straightforward 114 62 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 57 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 56 27 $3K
W0037 546 546 $2K
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 30 29 $0.00
90686 36 36 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 29 $0.00