LOWER BRULE SIOUX TRIBE
NPI: 1952599714
· LOWER BRULE, SD 57548
· 343900000X
$308K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,439 |
$43K |
| 2019 |
569 |
$21K |
| 2020 |
284 |
$9K |
| 2021 |
423 |
$28K |
| 2022 |
987 |
$70K |
| 2023 |
1,229 |
$90K |
| 2024 |
596 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Nonemerg transp mileage |
2,334 |
1,246 |
$269K |
| A0120 |
Noner transport mini-bus |
2,833 |
1,378 |
$20K |
| A0425 |
Ground mileage |
360 |
103 |
$19K |