Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › TIMBER LAKE › MOBRIDGE REGIONAL HOSPITAL

MOBRIDGE REGIONAL HOSPITAL

NPI: 1841267341 · TIMBER LAKE, SD 57656 · Rural Health Clinic/Center · NPI assigned 03/02/2006

$151K
Total Medicaid Paid
1,994
Total Claims
1,691
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTISDALL, RENAE (CFO)
NPI Enumeration Date03/02/2006

Related Entities

Other providers sharing the same authorized official: TISDALL, RENAE

ProviderCityStateTotal Paid
MOBRIDGE REGIONAL HOSPITAL MOBRIDGE SD $2.80M
MOBRIDGE REGIONAL HOSPITAL MOBRIDGE SD $1.91M
MOBRIDGE REGIONAL HOSPITAL MC LAUGHLIN SD $1.29M
MOBRIDGE REGIONAL HOSPITAL MOBRIDGE SD $660K
MOBRIDGE REGIONAL HOSPITAL MOBRIDGE SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 295 $28K
2019 235 $21K
2020 111 $11K
2021 214 $17K
2022 288 $24K
2023 408 $21K
2024 443 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,606 1,306 $149K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 14 $1K
W0037 345 345 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 26 $0.00