Clinic
City of Sioux Falls
City of Sioux Falls was paid $8.66M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoCITY OF SIOUX FALLS
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
33aNPI1932295888assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.66M
24GClaims139,393
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Dakota
Rank by total paid#3 of 39
Median peer was paid$185K
This provider vs. median47×
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 | 24,028 | $1.77M | |
| 2019 | 19,298 | $1.63M | |
| 2020 | 9,919 | $600K | |
| 2021 | 21,830 | $1.30M | |
| 2022 | 22,253 | $1.32M | |
| 2023 | 22,708 | $1.09M | |
| 2024incomplete | 19,357 | $951K |
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 | 24% | 19,044 | 14,992 | $2.08M |
| 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 | 8.4% | 6,796 | 5,675 | $728K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 6,479 | 6,418 | $515K |
| D1110 | Prophylaxis - adult | 5.5% | 5,733 | 5,623 | $478K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 4,533 | 4,464 | $402K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 3,575 | 3,272 | $387K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 4,193 | 4,165 | $369K |
| 36415 | Collection of venous blood by venipuncture | 3.6% | 7,887 | 6,801 | $309K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 2,890 | 2,190 | $305K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 3,256 | 2,250 | $302K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 2,953 | 2,818 | $273K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 2,893 | 2,120 | $270K |
90 more codes
| W0037 | 2.4% | 7,965 | $206K | |
| D1351 | Sealant - per tooth | 1.8% | 5,825 | $157K |
| D0274 | Bitewings - four radiographic images | 1.7% | 3,341 | $148K |
| 99000 | 1.5% | 1,410 | $134K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 2,529 | $113K |
| D0272 | Bitewings - two radiographic images | 1.3% | 2,330 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 1,863 | $95K |
| G0467 | Community health center visit, returning patient | 1.1% | 3,309 | $94K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.0% | 2,435 | $88K |
| 80053 | Comprehensive metabolic panel | <1% | 2,705 | $85K |
| D5899 | <1% | 432 | $76K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,507 | $72K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,995 | $71K |
| D1206 | Topical application of fluoride varnish | <1% | 7,445 | $62K |
| 90688 | <1% | 835 | $61K | |
| 80061 | Lipid panel | <1% | 1,902 | $61K |
| 90837 | Psychotherapy session, about an hour | <1% | 948 | $59K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,066 | $54K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,171 | $51K |
| D0330 | Panoramic radiographic image | <1% | 1,109 | $47K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 385 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,095 | $36K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 868 | $34K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 855 | $34K |
| 81025 | <1% | 330 | $27K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 137 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 129 | $16K |
| D2330 | <1% | 193 | $16K | |
| 99385 | <1% | 84 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $12K |
| D1354 | <1% | 221 | $11K | |
| 81001 | <1% | 550 | $11K | |
| 92587 | <1% | 59 | $10K | |
| 80305 | <1% | 577 | $9K | |
| D0270 | <1% | 1,019 | $9K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 356 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 63 | $7K |
| 90716 | <1% | 263 | $6K | |
| 90715 | <1% | 241 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 204 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 45 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 31 | $5K |
| D2331 | <1% | 54 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $3K |
| D4341 | <1% | 54 | $3K | |
| 86592 | <1% | 508 | $3K | |
| 87806 | <1% | 18 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $3K |
| 86580 | <1% | 16 | $3K | |
| 99384 | <1% | 14 | $2K | |
| 86706 | <1% | 14 | $2K | |
| 87340 | <1% | 14 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 73 | $2K |
| 82043 | <1% | 67 | $2K | |
| D2335 | <1% | 12 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 87430 | <1% | 15 | $2K | |
| 36416 | <1% | 13 | $2K | |
| D4910 | <1% | 12 | $899.75 | |
| 94760 | <1% | 13 | $864.25 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,224 | $360.95 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $270.70 |
| 81003 | <1% | 53 | $175.38 | |
| 87210 | <1% | 402 | $27.07 | |
| 82570 | <1% | 25 | $3.12 | |
| 86703 | <1% | 599 | $2.74 | |
| 90656 | 0% | 146 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 135 | $0.00 |
| 86803 | 0% | 12 | $0.00 | |
| 90480 | 0% | 31 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 85 | $0.00 |
| D0603 | 0% | 20 | $0.00 | |
| 90651 | 0% | 101 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 149 | $0.00 |
| D0602 | 0% | 12 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 28 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 12 | $0.00 |
| 90746 | 0% | 40 | $0.00 | |
| 90658 | 0% | 217 | $0.00 | |
| 99177 | 0% | 312 | $0.00 | |
| 91300 | 0% | 17 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 127 | $0.00 |
| 90633 | 0% | 80 | $0.00 | |
| 90713 | 0% | 284 | $0.00 | |
| 0003A | 0% | 14 | $0.00 | |
| 90714 | 0% | 12 | $0.00 | |
| 90707 | 0% | 68 | $0.00 | |
| 91320 | 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 officialRICHARDSON, AMY (ASSISTANT PUBLIC HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| City of Sioux Falls | Sioux Falls, SD | $288K |
| City of Sioux Falls | Sioux Falls, SD | $211K |
| City of Sioux Falls | Sioux Falls, SD | $126K |
| City of Sioux Falls | Sioux Falls, SD | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.