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PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

General Acute Care Hospital·PINE RIDGE, SD·NPI: 1497786412Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$37.3M

$37,279,593

Total Claims

152K

Beneficiaries

120K

1.3 claims/patient

Avg Cost/Claim

$245

Monthly Spending Trend

Yearly Spending

2018
$386K
+82%
2019
$704K
-8%
2020
$648K
+1187%
2021
$8.3M
+14%
2022
$9.5M
-12%
2023
$8.4M
+10%
2024
$9.3M

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 25% of total spending.

99213Top 1%

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

$9.3M

24K claims · 25.0%

Your Cost: $395.82/claim|Median: $37.81
10.5× median
99214Top 1%

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

$6.4M

19K claims · 17.1%

Your Cost: $342.88/claim|Median: $53.41
6.4× median
99212Top 1%

Office/outpatient visit, low complexity

$2.4M

5,798 claims · 6.4%

Your Cost: $410.78/claim|Median: $25.06
16.4× median
99211Top 1%

Office/outpatient visit, minimal complexity

$2.1M

7,012 claims · 5.7%

Your Cost: $303.31/claim|Median: $12.93
23.5× median
90471Top 1%

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

$1.7M

4,058 claims · 4.5%

Your Cost: $412.18/claim|Median: $9.80
42.1× median
D1206Top 1%

Topical application of fluoride varnish

$1.3M

3,707 claims · 3.4%

Your Cost: $344.16/claim|Median: $18.12
19.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$1.2M

2,943 claims · 3.3%

Your Cost: $418.97/claim|Median: $27.07
15.5× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$1.2M

3,341 claims · 3.2%

Your Cost: $356.69/claim|Median: $33.72
10.6× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$1.2M

3,083 claims · 3.1%

Your Cost: $377.33/claim|Median: $36.70
10.3× median
99215Top 1%

Office/outpatient visit, high complexity

$977K

2,373 claims · 2.6%

Your Cost: $411.86/claim|Median: $74.09
5.6× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$777K

1,832 claims · 2.1%

Your Cost: $424.16/claim|Median: $114.30
3.7× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$731K

3,601 claims · 2.0%

Your Cost: $202.92/claim|Median: $10.51
19.3× median
W0037Top 25%

$719K

25K claims · 1.9%

Your Cost: $28.61/claim|Median: $3.00
9.5× median
0071ATop 1%

$654K

1,671 claims · 1.8%

Your Cost: $391.46/claim|Median: $38.71
10.1× median
A0425Top 10%

Ground mileage, per statute mile

$599K

5,843 claims · 1.6%

Your Cost: $102.59/claim|Median: $23.36
4.4× median
0072ATop 1%

$574K

1,592 claims · 1.5%

Your Cost: $360.35/claim|Median: $39.57
9.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$496K

1,138 claims · 1.3%

Your Cost: $436.14/claim|Median: $69.35
6.3× median
A0428Top 25%

Ambulance service, BLS, non-emergency transport

$336K

2,464 claims · 0.9%

Your Cost: $136.22/claim|Median: $58.05
2.3× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$279K

563 claims · 0.7%

Your Cost: $494.89/claim|Median: $75.18
6.6× median
A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$272K

1,675 claims · 0.7%

Your Cost: $162.54/claim|Median: $104.69
1.6× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$237K

455 claims · 0.6%

Your Cost: $520.11/claim|Median: $80.15
6.5× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$236K

946 claims · 0.6%

Your Cost: $249.23/claim|Median: $164.22
1.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$221K

2,479 claims · 0.6%

Your Cost: $89.19/claim|Median: $57.39
1.6× median
D1351Top 5%

Sealant, per tooth

$213K

2,423 claims · 0.6%

Your Cost: $87.85/claim|Median: $26.10
3.4× median
D1120Top 1%

Prophylaxis, adult

$212K

1,119 claims · 0.6%

Your Cost: $189.46/claim|Median: $33.86
5.6× median
90832Top 1%

Psychotherapy, 30 minutes

$205K

355 claims · 0.6%

Your Cost: $577.98/claim|Median: $41.28
14.0× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$193K

462 claims · 0.5%

Your Cost: $417.00/claim|Median: $36.49
11.4× median
47900Normal range

$191K

829 claims · 0.5%

Your Cost: $230.54/claim|Median: $235.51
1.0× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$187K

348 claims · 0.5%

Your Cost: $536.37/claim|Median: $74.82
7.2× median
90834Top 1%

Psychotherapy, 45 minutes

$140K

255 claims · 0.4%

Your Cost: $549.08/claim|Median: $63.65
8.6× median
90837Top 1%

Psychotherapy, 60 minutes

$139K

361 claims · 0.4%

Your Cost: $385.31/claim|Median: $85.66
4.5× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$122K

1,652 claims · 0.3%

Your Cost: $74.14/claim|Median: $25.93
2.9× median
99384Top 1%

Preventive visit, new patient, adolescent (12-17 yr)

$120K

269 claims · 0.3%

Your Cost: $447.12/claim|Median: $83.63
5.3× median
00001Normal range

$116K

377 claims · 0.3%

Your Cost: $307.27/claim|Median: $307.27
1.0× median
A0429Top 25%

Ambulance, BLS emergency transport

$115K

542 claims · 0.3%

Your Cost: $211.33/claim|Median: $138.19
1.5× median
99381Top 1%

Preventive visit, new patient, infant (<1 yr)

$113K

493 claims · 0.3%

Your Cost: $228.29/claim|Median: $73.46
3.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$99K

1,269 claims · 0.3%

Your Cost: $77.71/claim|Median: $33.85
2.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$85K

660 claims · 0.2%

Your Cost: $128.30/claim|Median: $52.03
2.5× median
0081ATop 1%

$83K

216 claims · 0.2%

Your Cost: $382.22/claim|Median: $38.21
10.0× median
99506Top 1%

$81K

178 claims · 0.2%

Your Cost: $454.50/claim|Median: $114.25
4.0× median
S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$78K

1,120 claims · 0.2%

Your Cost: $69.77/claim|Median: $21.33
3.3× median
99383Top 1%

Preventive visit, new patient, late childhood (5-11 yr)

$73K

158 claims · 0.2%

Your Cost: $462.99/claim|Median: $81.92
5.7× median
D0603Top 1%

$62K

785 claims · 0.2%

Your Cost: $79.22/claim|Median: $6.54
12.1× median
0054ATop 5%

$58K

102 claims · 0.2%

Your Cost: $570.98/claim|Median: $35.83
15.9× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$49K

289 claims · 0.1%

Your Cost: $169.29/claim|Median: $32.07
5.3× median
D0274Top 1%

Bitewings, four radiographic images

$47K

178 claims · 0.1%

Your Cost: $263.68/claim|Median: $22.54
11.7× median
65400Top 25%

$46K

72 claims · 0.1%

Your Cost: $644.92/claim|Median: $192.12
3.4× median
0082ATop 5%

$45K

152 claims · 0.1%

Your Cost: $298.95/claim|Median: $39.88
7.5× median
D0210Top 1%

Intraoral, complete series of radiographic images

$44K

231 claims · 0.1%

Your Cost: $191.07/claim|Median: $46.33
4.1× median
99382Top 1%

Preventive visit, new patient, early childhood (1-4 yr)

$42K

109 claims · 0.1%

Your Cost: $381.83/claim|Median: $79.89
4.8× median

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