Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

SD#46 of 49 states

South Dakota Medicaid Spending

South Dakota's Medicaid program paid $316.5M across 2 providers from 2018–2024. 1 provider in South Dakota are flagged on our risk watchlist. The top procedure code is T2016 (Habilitation, residential, waiver; per diem) at $216.7M.

Total Spending

$316.5M

Total Claims

861K

Top Providers

2

Beneficiaries

302K

Largest Provider

South Dakota Achieve

$166.9M

Top Procedure

T2016

$216.7M

Flagged Providers

1

on risk watchlist

Avg Per Provider

$158.3M

across 2 providers

Yearly Spending Trend

Spending by Top Procedures

T2016Habilitation, residential, waiver; per diem$216.7M
T2020Day habilitation, waiver; per diem$54.6M
S0281$20.5M
T2025Waiver services, NOS; per 15 min$14.6M
T2018$2.2M

Top Procedures in South Dakota

CodeTotal Paid
T2016

Habilitation, residential, waiver; per diem

$216.7M
T2020

Day habilitation, waiver; per diem

$54.6M
S0281$20.5M
T2025

Waiver services, NOS; per 15 min

$14.6M
T2018$2.2M
T2019

Habilitation, prevocational, waiver; per 15 min

$2.2M
T2028

Specialized supply, NOS; per unit

$2.2M
T2017

Habilitation, residential, waiver; 15 min

$1.7M
T2014

Habilitation, prevocational, waiver, per hour

$1.5M
A0130

Non-emergency wheelchair van transport

$54K
90837

Psychotherapy, 60 minutes

$30K
97530

Therapeutic activities, each 15 min

$15K
T2029

Specialized transportation, waiver, per mile, extra

$6K
T2035$4K
A0100

Non-emergency transportation; per trip

$2K