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GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD

Clinic/Center·RAPID CITY, SD·NPI: 1376105452Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.4M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2019-08→2024-12(60 months)

Total Paid

$36.4M

$36,392,496

Total Claims

113K

Beneficiaries

90K

1.3 claims/patient

Avg Cost/Claim

$321

Monthly Spending Trend

Yearly Spending

2019
$152K
+88%
2020
$286K
+1376%
2021
$4.2M
+71%
2022
$7.2M
+33%
2023
$9.6M
+54%
2024
$14.9M

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 88% of total spending.

99213Top 1%

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

$32.0M

57K claims · 87.8%

Your Cost: $564.24/claim|Median: $37.81
14.9× median
99214Top 1%

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

$790K

2,900 claims · 2.2%

Your Cost: $272.38/claim|Median: $53.41
5.1× median
99212Top 1%

Office/outpatient visit, low complexity

$710K

1,676 claims · 2.0%

Your Cost: $423.85/claim|Median: $25.06
16.9× median
99211Top 1%

Office/outpatient visit, minimal complexity

$519K

1,243 claims · 1.4%

Your Cost: $417.49/claim|Median: $12.93
32.3× median
W0037Top 25%

$267K

13K claims · 0.7%

Your Cost: $20.84/claim|Median: $3.00
6.9× median
D0140Top 1%

Limited oral evaluation, problem focused

$219K

407 claims · 0.6%

Your Cost: $538.21/claim|Median: $27.07
19.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$203K

454 claims · 0.6%

Your Cost: $446.86/claim|Median: $33.72
13.3× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$190K

396 claims · 0.5%

Your Cost: $479.33/claim|Median: $36.70
13.1× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$164K

432 claims · 0.5%

Your Cost: $380.28/claim|Median: $40.11
9.5× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$145K

354 claims · 0.4%

Your Cost: $408.80/claim|Median: $57.85
7.1× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$106K

236 claims · 0.3%

Your Cost: $448.63/claim|Median: $25.93
17.3× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$96K

208 claims · 0.3%

Your Cost: $461.61/claim|Median: $33.85
13.6× median
90471Top 1%

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

$82K

1,447 claims · 0.2%

Your Cost: $56.99/claim|Median: $9.80
5.8× median
0071ATop 1%

$81K

176 claims · 0.2%

Your Cost: $462.65/claim|Median: $38.71
12.0× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$81K

182 claims · 0.2%

Your Cost: $442.93/claim|Median: $69.35
6.4× median
0072ATop 1%

$76K

140 claims · 0.2%

Your Cost: $544.66/claim|Median: $39.57
13.8× median
0064ATop 1%

$61K

128 claims · 0.2%

Your Cost: $478.01/claim|Median: $34.17
14.0× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$46K

137 claims · 0.1%

Your Cost: $333.78/claim|Median: $47.08
7.1× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$44K

96 claims · 0.1%

Your Cost: $461.13/claim|Median: $75.18
6.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$35K

69 claims · 0.1%

Your Cost: $500.17/claim|Median: $32.07
15.6× median
D1206Top 1%

Topical application of fluoride varnish

$32K

91 claims · 0.1%

Your Cost: $355.55/claim|Median: $18.12
19.6× median
90837Top 1%

Psychotherapy, 60 minutes

$31K

78 claims · 0.1%

Your Cost: $403.34/claim|Median: $85.66
4.7× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$30K

351 claims · 0.1%

Your Cost: $85.08/claim|Median: $4.71
18.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$30K

756 claims · 0.1%

Your Cost: $39.27/claim|Median: $9.56
4.1× median
0052ATop 1%

$28K

46 claims · 0.1%

Your Cost: $612.17/claim|Median: $37.79
16.2× median
85027Top 10%

Complete blood count (CBC), automated

$25K

1,970 claims · 0.1%

Your Cost: $12.66/claim|Median: $3.72
3.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$24K

388 claims · 0.1%

Your Cost: $61.73/claim|Median: $63.08
1.0× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$23K

446 claims · 0.1%

Your Cost: $51.59/claim|Median: $24.95
2.1× median
99215Top 1%

Office/outpatient visit, high complexity

$21K

49 claims · 0.1%

Your Cost: $438.74/claim|Median: $74.09
5.9× median
0054ATop 5%

$20K

48 claims · 0.1%

Your Cost: $426.67/claim|Median: $35.83
11.9× median
0004ATop 1%

$20K

77 claims · 0.1%

Your Cost: $262.62/claim|Median: $35.62
7.4× median
0051ATop 5%

$20K

39 claims · 0.1%

Your Cost: $515.82/claim|Median: $36.92
14.0× median
87081Top 5%

Culture screening for pathogenic organisms

$19K

464 claims · 0.1%

Your Cost: $41.43/claim|Median: $5.09
8.1× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$15K

56 claims · 0.0%

Your Cost: $271.32/claim|Median: $59.72
4.5× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$15K

216 claims · 0.0%

Your Cost: $69.40/claim|Median: $10.51
6.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$15K

1,479 claims · 0.0%

Your Cost: $10.04/claim|Median: $30.04
0.3× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$14K

26 claims · 0.0%

Your Cost: $554.88/claim|Median: $74.82
7.4× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$12K

79 claims · 0.0%

Your Cost: $145.62/claim|Median: $57.39
2.5× median
86703Top 5%

$11K

468 claims · 0.0%

Your Cost: $23.90/claim|Median: $10.37
2.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

773 claims · 0.0%

Your Cost: $12.73/claim|Median: $7.18
1.8× median
80053Normal range

Comprehensive metabolic panel

$9K

1,840 claims · 0.0%

Your Cost: $4.68/claim|Median: $7.24
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$8K

1,369 claims · 0.0%

Your Cost: $5.68/claim|Median: $5.50
1.0× median
88175Top 1%

Cytopathology, cervical or vaginal, ThinPrep

$7K

36 claims · 0.0%

Your Cost: $196.29/claim|Median: $19.06
10.3× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$7K

17 claims · 0.0%

Your Cost: $404.47/claim|Median: $109.42
3.7× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$7K

15 claims · 0.0%

Your Cost: $452.05/claim|Median: $108.91
4.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$6K

994 claims · 0.0%

Your Cost: $6.31/claim|Median: $39.70
0.2× median
D0274Top 1%

Bitewings, four radiographic images

$6K

59 claims · 0.0%

Your Cost: $97.49/claim|Median: $22.54
4.3× median
76805Top 1%

Ultrasound, pregnant uterus, complete, single fetus

$5K

19 claims · 0.0%

Your Cost: $276.63/claim|Median: $74.78
3.7× median
92002Top 1%

Intermediate eye exam, new patient

$5K

16 claims · 0.0%

Your Cost: $293.02/claim|Median: $41.61
7.0× median
80061Normal range

Lipid panel

$4K

886 claims · 0.0%

Your Cost: $4.66/claim|Median: $8.41
0.6× median

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