Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHEYENNE RIVER SIOUX TRIBE BEHAVORIAL HEALTH

NPI: 1922374826 · EAGLE BUTTE, SD 57625 · Adult Mental Health Clinic/Center · NPI assigned 03/26/2012

$0.00
Total Medicaid Paid
20
Total Claims
18
Beneficiaries
1
Codes Billed
2018-12
First Month
2018-12
Last Month

Provider Details

Authorized OfficialSIMON, RAMONA (TRIBAL HEALTH CEO)
NPI Enumeration Date03/26/2012

Related Entities

Other providers sharing the same authorized official: SIMON, RAMONA

ProviderCityStateTotal Paid
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC EAGLE BUTTE SD $7.97M
CHERRY CREEK TRIBAL HEALTH CENTER CHERRY CREEK SD $1.09M
WHITE HORSE TRIBAL HEALTH CENTER WHITE HORSE SD $33K
CHEYENNE RIVER SIOUX TRIBE FAITH SD $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 18 $0.00