Satanta District Hospital and Long-Term Care

Satanta District Hospital and Long-Term Care was paid $10K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 71% of everything it billed.

33Billing provider infoSATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
SUBLETTE, KS 67877

33aNPI1871546259assigned 05/18/2006

33bProvider typePublic Health or Welfare Agency

28Total paid$10K

24GClaims776

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Kansas

Rank by total paid#50 of 82

Median peer was paid$13K

This provider vs. median0.7×

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	184	$3K
2019	260	$3K
2020	128	$1K
2021	90	$868.30
2022	56	$633.38
2023	35	$393.50
2024incomplete	23	$300.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	71%	447	380	$7K
90472	Immunization administration, each additional vaccine (list separately)	19%	56	52	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.5%	14	14	$436.82
90460	Immunization administration through 18 years of age via any route, first or only component	3.7%	21	20	$360.00
90686		1.7%	142	137	$164.72
85018		<1%	27	27	$8.04
90715		0%	13	12	$0.00
90734		0%	18	17	$0.00
90461		0%	23	14	$0.00
90651		0%	15	13	$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 officialPENDERGRAFT, TINA (ADMINISTRATOR)

Parent organizationSATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

Same official

Other billing entities under PENDERGRAFT, TINA

Full network →

Provider	Location	Paid
Satanta District Hospital and Long-Term Care	Satanta, KS	$211K
Satanta District Hospital and Long-Term Care	Sublette, KS	$90K
Satanta District Hospital and Long-Term Care	Satanta, KS	$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.