Clinic
Lower Brule Health Center Ihs
Lower Brule Health Center Ihs was paid $6.29M by Medicaid between Jan 2018 and Sep 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoLOWER BRULE HEALTH CENTER IHS
LOWER BRULE, SD 57548
LOWER BRULE, SD 57548
33aNPI1881719425assigned 03/20/2007
33bProvider typeClinic/Center
28Total paid$6.29M
24GClaims32,721
24DCodes billed35
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Clinic/Center providers in South Dakota
Rank by total paid#6 of 29
Median peer was paid$79K
This provider vs. median79×
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 | 3,655 | $1.34M | |
| 2019 | 1,998 | $771K | |
| 2020 | 653 | $293K | |
| 2021 | 4,550 | $649K | |
| 2022 | 8,602 | $1.16M | |
| 2023 | 8,574 | $1.32M | |
| 2024incomplete | 4,689 | $754K |
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 | 84% | 11,737 | 9,439 | $5.29M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.6% | 3,218 | 2,714 | $355K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,062 | 985 | $176K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 643 | 504 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 151 | 132 | $73K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,345 | 1,253 | $54K |
| W0037 | <1% | 2,627 | 2,627 | $43K | |
| 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 | <1% | 82 | 80 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | 62 | $38K |
| 90686 | <1% | 436 | 412 | $26K | |
| 0071A | <1% | 71 | 70 | $19K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,040 | 971 | $18K |
23 more codes
| 0072A | <1% | 35 | $17K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,650 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $7K |
| 0003A | <1% | 14 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,766 | $5K |
| 81002 | <1% | 762 | $5K | |
| 86780 | <1% | 21 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,274 | $3K |
| 82465 | <1% | 138 | $2K | |
| 80061 | Lipid panel | <1% | 167 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 348 | $640.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 387 | $28.40 |
| 99188 | 0% | 207 | $0.00 | |
| 91300 | 0% | 90 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90670 | 0% | 43 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,170 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 245 | $0.00 |
| 81001 | 0% | 759 | $0.00 | |
| 81015 | 0% | 26 | $0.00 | |
| 91307 | 0% | 90 | $0.00 | |
| 36416 | 0% | 13 | $0.00 | |
| 90651 | 0% | 15 | $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 officialREKOW, EYVONNE (CHIEF EXECUTIVE OFFICER)