Clinic
West River Health Services
West River Health Services was paid $355K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoWEST RIVER HEALTH SERVICES
LEMMON, SD 57638
LEMMON, SD 57638
33aNPI1801987904assigned 09/27/2006
33bProvider typeRural Health Clinic/Center
28Total paid$355K
24GClaims5,345
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#12 of 42
Median peer was paid$131K
This provider vs. median2.7×
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 | 987 | $71K | |
| 2019 | 1,111 | $77K | |
| 2020 | 480 | $34K | |
| 2021 | 582 | $39K | |
| 2022 | 576 | $39K | |
| 2023 | 904 | $50K | |
| 2024incomplete | 705 | $44K |
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 | 69% | 2,810 | 2,220 | $245K |
| 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 | 15% | 656 | 521 | $54K |
| 36415 | Collection of venous blood by venipuncture | 7.8% | 747 | 643 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 110 | 105 | $8K |
| 11721 | 1.6% | 129 | 125 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.5% | 114 | 62 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 69 | 57 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 56 | 27 | $3K |
| W0037 | <1% | 546 | 546 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | 12 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 30 | 29 | $0.00 |
| 90686 | 0% | 36 | 36 | $0.00 |
1 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 30 | $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 officialLONG, JAMES (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.