MOBRIDGE REGIONAL HOSPITAL
NPI: 1902948896
· MOBRIDGE, SD 57601
· Critical Access Hospital
· NPI assigned 02/14/2007
$660K
Total Medicaid Paid
Provider Details
| Authorized Official | TISDALL, RENAE (CFO) |
| NPI Enumeration Date | 02/14/2007 |
Related Entities
Other providers sharing the same authorized official: TISDALL, RENAE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
581 |
$119K |
| 2019 |
452 |
$103K |
| 2020 |
234 |
$43K |
| 2021 |
507 |
$118K |
| 2022 |
466 |
$84K |
| 2023 |
373 |
$69K |
| 2024 |
562 |
$124K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
1,815 |
1,403 |
$370K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,271 |
1,044 |
$275K |
| A0390 |
Als mileage (per mile) |
89 |
69 |
$14K |