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ROSEBUD INDIAN HEALTH SERVICE

General Acute Care Hospital·ROSEBUD, SD·NPI: 1194757369Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$22.2M

$22,192,251

Total Claims

77K

Beneficiaries

65K

1.2 claims/patient

Avg Cost/Claim

$288

Monthly Spending Trend

Yearly Spending

2018
$642K
+19%
2019
$764K
-58%
2020
$318K
+1667%
2021
$5.6M
+1%
2022
$5.7M
-14%
2023
$4.9M
-12%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 34% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$7.5M

17K claims · 33.6%

Your Cost: $446.89/claim|Median: $37.81
11.8× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$2.9M

6,415 claims · 13.0%

Your Cost: $450.83/claim|Median: $53.41
8.4× median
99212Top 1%

Office/outpatient visit, low complexity

$1.5M

3,262 claims · 6.9%

Your Cost: $468.85/claim|Median: $25.06
18.7× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$995K

2,648 claims · 4.5%

Your Cost: $375.71/claim|Median: $9.80
38.3× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$732K

1,932 claims · 3.3%

Your Cost: $378.67/claim|Median: $33.72
11.2× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$693K

1,811 claims · 3.1%

Your Cost: $382.69/claim|Median: $36.70
10.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$662K

5,539 claims · 3.0%

Your Cost: $119.48/claim|Median: $12.93
9.2× median
0054ATop 5%

$628K

1,191 claims · 2.8%

Your Cost: $527.19/claim|Median: $35.83
14.7× median
0124ATop 1%

$493K

1,122 claims · 2.2%

Your Cost: $439.60/claim|Median: $34.32
12.8× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$463K

1,717 claims · 2.1%

Your Cost: $269.89/claim|Median: $10.51
25.7× median
D0140Top 1%

Limited oral evaluation, problem focused

$441K

1,540 claims · 2.0%

Your Cost: $286.18/claim|Median: $27.07
10.6× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$404K

1,483 claims · 1.8%

Your Cost: $272.33/claim|Median: $39.70
6.9× median
99215Top 1%

Office/outpatient visit, high complexity

$386K

846 claims · 1.7%

Your Cost: $456.00/claim|Median: $74.09
6.2× median
42700Normal range

$383K

1,085 claims · 1.7%

Your Cost: $352.62/claim|Median: $361.34
1.0× median
90837Top 1%

Psychotherapy, 60 minutes

$377K

730 claims · 1.7%

Your Cost: $516.84/claim|Median: $85.66
6.0× median
0071ATop 1%

$319K

1,025 claims · 1.4%

Your Cost: $310.89/claim|Median: $38.71
8.0× median
W0037Top 25%

$315K

10K claims · 1.4%

Your Cost: $30.65/claim|Median: $3.00
10.2× median
0072ATop 1%

$295K

842 claims · 1.3%

Your Cost: $350.77/claim|Median: $39.57
8.9× median
99281Normal range

Emergency dept visit, minimal complexity

$272K

3,399 claims · 1.2%

Your Cost: $79.92/claim|Median: $52.03
1.5× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$269K

700 claims · 1.2%

Your Cost: $384.94/claim|Median: $47.08
8.2× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$197K

380 claims · 0.9%

Your Cost: $517.51/claim|Median: $38.23
13.5× median
0154ATop 5%

$183K

380 claims · 0.8%

Your Cost: $480.46/claim|Median: $39.23
12.2× median
90832Top 1%

Psychotherapy, 30 minutes

$175K

413 claims · 0.8%

Your Cost: $424.89/claim|Median: $41.28
10.3× median
D1120Top 1%

Prophylaxis, adult

$131K

474 claims · 0.6%

Your Cost: $276.87/claim|Median: $33.86
8.2× median
G0463Normal range

Hospital outpatient clinic visit

$124K

2,159 claims · 0.6%

Your Cost: $57.66/claim|Median: $26.41
2.2× median
0004ATop 1%

$124K

459 claims · 0.6%

Your Cost: $270.78/claim|Median: $35.62
7.6× median
D1206Top 1%

Topical application of fluoride varnish

$121K

838 claims · 0.5%

Your Cost: $144.38/claim|Median: $18.12
8.0× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$114K

319 claims · 0.5%

Your Cost: $356.35/claim|Median: $32.49
11.0× median
0034ATop 1%

$97K

171 claims · 0.4%

Your Cost: $565.15/claim|Median: $35.00
16.1× median
45500Normal range

$95K

344 claims · 0.4%

Your Cost: $276.44/claim|Median: $306.59
0.9× median
0134ATop 5%

$91K

312 claims · 0.4%

Your Cost: $293.00/claim|Median: $33.54
8.7× median
0064ATop 1%

$87K

167 claims · 0.4%

Your Cost: $520.17/claim|Median: $34.17
15.2× median
0052ATop 5%

$66K

163 claims · 0.3%

Your Cost: $404.42/claim|Median: $37.79
10.7× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$49K

167 claims · 0.2%

Your Cost: $295.24/claim|Median: $25.93
11.4× median
0074ATop 5%

$47K

142 claims · 0.2%

Your Cost: $333.52/claim|Median: $39.19
8.5× median
90834Top 1%

Psychotherapy, 45 minutes

$47K

117 claims · 0.2%

Your Cost: $403.32/claim|Median: $63.65
6.3× median
90791Top 1%

Psychiatric diagnostic evaluation

$46K

107 claims · 0.2%

Your Cost: $432.75/claim|Median: $99.21
4.4× median
0051ATop 5%

$46K

137 claims · 0.2%

Your Cost: $337.58/claim|Median: $36.92
9.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$42K

859 claims · 0.2%

Your Cost: $49.19/claim|Median: $57.39
0.9× median
D0603Top 1%

$42K

353 claims · 0.2%

Your Cost: $118.21/claim|Median: $6.54
18.1× median
99600Top 25%

Unlisted home visit service or procedure

$40K

208 claims · 0.2%

Your Cost: $191.02/claim|Median: $111.99
1.7× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$39K

106 claims · 0.2%

Your Cost: $372.11/claim|Median: $33.85
11.0× median
99506Top 25%

$30K

107 claims · 0.1%

Your Cost: $278.93/claim|Median: $114.25
2.4× median
D0270Top 1%

$29K

450 claims · 0.1%

Your Cost: $64.54/claim|Median: $5.46
11.8× median
97110Top 1%

Therapeutic exercises, each 15 min

$27K

55 claims · 0.1%

Your Cost: $496.76/claim|Median: $24.49
20.3× median
D1351Top 5%

Sealant, per tooth

$15K

153 claims · 0.1%

Your Cost: $98.31/claim|Median: $26.10
3.8× median
0081ATop 5%

$14K

89 claims · 0.1%

Your Cost: $158.20/claim|Median: $38.21
4.1× median
99283Normal range

Emergency dept visit, moderate complexity

$11K

1,256 claims · 0.0%

Your Cost: $8.60/claim|Median: $42.48
0.2× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$9K

30 claims · 0.0%

Your Cost: $294.10/claim|Median: $36.49
8.1× median
0173ATop 1%

$8K

12 claims · 0.0%

Your Cost: $654.00/claim|Median: $37.72
17.3× median

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