Fort Yates Indian Health Service Hospital — Billing Profile & Reimbursement Data
NPI 1710037288 · Mclaughlin, SD · Clinic/Center
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Fort Yates Indian Health Service Hospital is a clinic/center provider located in Mclaughlin, South Dakota. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fort Yates Indian Health Service Hospital |
| Address | 701 East 6th Street |
| City | Mclaughlin |
| State | SD |
| ZIP | 57642 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | January 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.2M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,650 | $470 | $1.3M |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 1,890 | $190 | $349.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 400 | $530 | $211.7K |
| D1120 | Prophylaxis–child | 570 | $340 | $194K |
| D0140 | Limited oral evaluation – problem focused | 480 | $320 | $152.9K |
| 0011A | N/A | 210 | $470 | $99.4K |
| 0012A | N/A | 190 | $510 | $99.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 160 | $620 | $98.4K |
| 0071A | N/A | 160 | $570 | $89.7K |
| 0072A | N/A | 130 | $630 | $83.8K |
Showing 1–10 of 25
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Dakota median
25 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 105 | 340 | 1,010 | $100 | $511K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 196 | 260 | 860 | $80 | $222.6K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 43 | 40 | 260 | $90 | $151.5K |
| D1351 | Sealant - per tooth | 24 | 50 | 400 | $30 | $117.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 89 | 160 | 210 | $120 | $97.4K |
| D0140 | Limited oral evaluation – problem focused | 21 | 60 | 120 | $140 | $84.7K |
| 0002A | N/A | 14 | 30 | 90 | $260 | $82.8K |
| 0001A | N/A | 12 | 40 | 70 | $240 | $74.5K |
| D1120 | Prophylaxis–child | 40 | 140 | 150 | $40 | $59.7K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 59 | 160 | 180 | $40 | $59.6K |
Showing 1–10 of 25
Nearby Providers
Other providers in the same ZIP code as Fort Yates Indian Health Service Hospital, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mobridge Regional Hospital | SD | Rural Health Clinic/Center | $0 | $1.3M |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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