Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › BOWDLE › BOWDLE CLINIC

BOWDLE CLINIC

NPI: 1982760435 · BOWDLE, SD 57428 · Clinic/Center · NPI assigned 12/29/2006

$16K
Total Medicaid Paid
629
Total Claims
533
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialKOSIAK, JON (CEO)
NPI Enumeration Date12/29/2006

Related Entities

Other providers sharing the same authorized official: KOSIAK, JON

ProviderCityStateTotal Paid
BOWDLE HOSPITAL BOWDLE SD $121K
BOWDLE HOSPITAL BOWDLE SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 260 $6K
2019 229 $5K
2020 125 $4K
2021 15 $522.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 380 298 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 84 74 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 165 161 $1K