South Dakota Medicaid Indian Health Service and Tribal ...rosebud sioux tribe - community services...
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South Dakota Medicaid Indian Health Service and Tribal Medical Expenditures 10/1/2018 ‐ 12/31/2018 Provider Total Paid Recipients CHEYENNE RIVER SIOUX TRIBE $251,076 457 Outpatient $248,514 450 Professional $2,562 7 EAGLE BUTTE IHS $2,467,037 2746 Inpatient $230,817 23 Outpatient $1,279,248 1485 Transportation $65,823 128 Pharmacy $891,149 1110 FLANDREAU SANTEE SIOUX TRIBE $55,554 74 Outpatient $55,510 71 Professional $44 3 FORT THOMPSON IHS $1,108,627 1216 Outpatient $658,434 664 Transportation $1,843 5 Pharmacy $448,350 547 FORT YATES IHS $117,994 201 Outpatient $61,203 115 Pharmacy $56,791 86 KYLE HEALTH CENTER $429,135 603 Pharmacy $429,135 603 LOWER BRULE SIOUX TRIBE $31,220 64 Professional $12,956 14 Transportation $18,264 50 MCLAUGHLIN IHS $364,160 584 Outpatient $147,315 255 Professional $356 30 Unknown $216,489 299 MEDICINE WHEEL VILLAGE $42,933 12 Assisted Living $42,933 12 OGLALA SIOUX TRIBE $382,849 587 Professional $259,310 231 Transportation $123,539 356 LOWER BRULE IHS $323,010 473 Outpatient $145,607 219 Professional $198 9 Pharmacy $177,205 245 PINE RIDGE IHS $3,778,407 4679 Outpatient $2,297,260 2649 Professional $738 183 Pharmacy $1,480,409 1847
Transcript of South Dakota Medicaid Indian Health Service and Tribal ...rosebud sioux tribe - community services...
South Dakota Medicaid Indian Health Service and Tribal Medical
Expenditures
10/1/2018 ‐ 12/31/2018
Provider Total Paid Recipients
CHEYENNE RIVER SIOUX TRIBE $251,076 457
Outpatient $248,514 450
Professional $2,562 7
EAGLE BUTTE IHS $2,467,037 2746
Inpatient $230,817 23
Outpatient $1,279,248 1485
Transportation $65,823 128
Pharmacy $891,149 1110
FLANDREAU SANTEE SIOUX TRIBE $55,554 74
Outpatient $55,510 71
Professional $44 3
FORT THOMPSON IHS $1,108,627 1216
Outpatient $658,434 664
Transportation $1,843 5
Pharmacy $448,350 547
FORT YATES IHS $117,994 201
Outpatient $61,203 115
Pharmacy $56,791 86
KYLE HEALTH CENTER $429,135 603
Pharmacy $429,135 603
LOWER BRULE SIOUX TRIBE $31,220 64
Professional $12,956 14
Transportation $18,264 50
MCLAUGHLIN IHS $364,160 584
Outpatient $147,315 255
Professional $356 30
Unknown $216,489 299
MEDICINE WHEEL VILLAGE $42,933 12
Assisted Living $42,933 12
OGLALA SIOUX TRIBE $382,849 587
Professional $259,310 231
Transportation $123,539 356
LOWER BRULE IHS $323,010 473
Outpatient $145,607 219
Professional $198 9
Pharmacy $177,205 245
PINE RIDGE IHS $3,778,407 4679
Outpatient $2,297,260 2649
Professional $738 183
Pharmacy $1,480,409 1847
South Dakota Medicaid Indian Health Service and Tribal Medical
Expenditures
10/1/2018 ‐ 12/31/2018RAPID CITY IHS $1,754,326 2478
Outpatient $1,061,745 1519
Professional $1,899 113
Pharmacy $690,682 846
WHITE RIVER HEALTH CARE CENTER $700,181 37
Long Term Care $700,181 37
ROSEBUD IHS $2,690,226 3355
Inpatient $133,729 10
Outpatient $1,609,079 1985
Professional $4,175 162
Pharmacy $943,243 1198
ROSEBUD SIOUX TRIBE $268,505 498
Transportation $268,505 498
WAGNER IHS $787,754 975
Outpatient $436,597 506
Transportation $12,119 63
Pharmacy $339,038 406
WANBLEE IHS $580,293 740
Outpatient $319,823 420
Pharmacy $260,470 320
WOODROW WILSON KEEBLE MEMORIAL IHS $885,547 1085
Outpatient $523,075 582
Professional $2,938 59
Pharmacy $359,534 444
TOTAL $17,018,834 20,864
Medicaid Non-Emergency Medical Transportation (NEMT) Expenditures10/01/2018 12/31/2018 - As Of 01/02/2019
Text9 Cheyenne River Sioux Tribe Name of Provider City Total Paid # of Recipients
CHEYENNE RIVER SUPPORT SERVICES EAGLE BUTTE $6,196.58 36
TAKINI SCHOOL HOWES $0.00 0
$6,196.58Tribal Totals 36
Text9 Crow Creek Sioux Tribe Name of Provider City Total Paid # of Recipients
CROW CREEK TRIBAL HEALTH FT THOMPSON $0.00 0
CROW CREEK SIOUX TRIBE - FINANCE OFFICE FT THOMPSON $770.68 6
CROW CREEK DISTRICT BUSINESS COMMITTEE PUKWANA $0.00 0
$770.68Tribal Totals 6
Text9 Lower Brule Sioux Tribe Name of Provider City Total Paid # of Recipients
OKIYA FUND LOWER BRULE $0.00 2
$0.00Tribal Totals 2
Text9 Oglala Sioux Tribe Name of Provider City Total Paid # of Recipients
PASS CREEK DISTRICT ALLEN $123.63 1
OGLALA LAKOTA COUNTY SCHOOL DISTRICT BATESLAND $0.00 0
LAST CHILD SUNDANCE ASSN. KYLE $0.00 0
MEDICINE ROOT DISTRICT KYLE $7,550.72 79
WOUNDED KNEE DISTRICT MANDERSON $2,101.39 22
WOUNDED KNEE DISTRICT SCHOOL MANDERSON $0.00 0
LACREEK DISTRICT CAP OFFICE MARTIN $3,626.77 26
LONEMAN SCHOOL OGLALA $0.00 0
OGLALA DISTRICT SERVICE CENTER OGLALA $2,346.84 17
LAKOTA OYATE WAKANYEJA OWICAKIYAPI PINE RIDGE $0.00 0
OGLALA SIOUX TRIBE PINE RIDGE $32,459.60 313
OGLALA SIOUX TRIBE - HEALTH ADMIN PINE RIDGE $0.00 0
OST CSBG PINE RIDGE $0.00 0
PINE RIDGE VILLAGE DISTRICT PINE RIDGE $120.00 3
WAKPAMNI DISTRICT SERVICE CENTER PINE RIDGE $894.58 27
OGLALA SIOUX TRIBE - ENERGY & HOUSING PINE RIDGE $0.00 0
PORCUPINE DISTRICT PORCUPINE $3,640.01 41
PORCUPINE SCHOOL PORCUPINE $0.00 0
CRAZY HORSE SPEC ED DEPT WANBLEE $0.00 0
EAGLE NEST DISTRICT WANBLEE $0.00 0
HORSE CREEK COMMUNITY WHITE RIVER $0.00 0
WOUNDED KNEE COMMUNITY WOUNDED KNEE $0.00 0
$52,863.54Tribal Totals 529
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Medicaid Non-Emergency Medical Transportation (NEMT) Expenditures10/01/2018 12/31/2018 - As Of 01/02/2019
Text9 Rosebud Sioux Tribe Name of Provider City Total Paid # of Recipients
ANTELOPE COMMUNITY MISSION $0.00 0
SGU TIWAHE GLU KINI PI MISSION $0.00 0
SICANGU CHILD AND FAMILY SERVICES MISSION $0.00 0
SINTE GLESKA UNIVERSITY TIWAHE GLU KINI PI MISSION $0.00 0
SPOTTED TAIL CHILDREN'S HOME MISSION $0.00 0
BLACK PIPE COMMUNITY NORRIS $0.00 0
PARMELEE COMMUNITY PARMELEE $0.00 0
ROSEBUD SIOUX TRIBE - COMMUNITY SERVICES ROSEBUD $16,719.49 245
ROSEBUD SIOUX TRIBE - EDUCATION DEPT ROSEBUD $6,827.73 29
ROSEBUD SIOUX TRIBE HEAD START PROGRAM ROSEBUD $0.00 0
SINTE GLESKA OYATE TRANSPORTATION ROSEBUD $0.00 0
SAINT FRANCIS INDIAN SCHOOL ST FRANCIS $0.00 0
$23,547.22Tribal Totals 274
Text9 Sisseton Wahpeton Oyate Name of Provider City Total Paid # of Recipients
BIG COULEE DISTRICT AGENCY VILLAGE $0.00 0
BUFFALO LAKE DISTRICT AGENCY VILLAGE $0.00 0
EARLY CHILDHOOD INTERVENTION AGENCY VILLAGE $208.18 3
OLD AGENCY DISTRICT AGENCY VILLAGE $0.00 0
SWO ELDERLY AFFAIRS PROGRAM AGENCY VILLAGE $0.00 0
LAKE TRAVERSE DISTRICT SISSETON $0.00 0
$208.18Tribal Totals 3
Text9 Standing Rock Sioux Tribe Name of Provider City Total Paid # of Recipients
BEAR SOLDIER DISTRICT $0.00 0
ROCK CREEK GRANT SCHOOL BULLHEAD $0.00 0
STANDING ROCK EARLY CHILDHOOD FORT YATES $0.00 0
STANDING ROCK SIOUX TRIBE - 0-5 HEAD START FT YATES $0.00 5
STANDING ROCK SIOUX TRIBE - HEALTH FT YATES $0.00 0
$0.00Tribal Totals 5
Text9 Yankton Sioux tribe Name of Provider City Total Paid # of Recipients
ST PAUL'S CHURCH MARTY $0.00 0
SOUTH CENTRAL CHILD DEVELOPMENT WAGNER $0.00 0
YANKTON SIOUX TRIBE WAGNER $0.00 1
YANKTON SIOUX TRIBE WAGNER $0.00 0
$0.00Tribal Totals 1
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Medicaid Non-Emergency Medical Transportation (NEMT) Expenditures10/01/2018 12/31/2018 - As Of 01/02/2019
Text9 Flandreau Santee Sioux Tribe Name of Provider City Total Paid # of Recipients
FLANDREAU SANTEE SIOUX TRIBAL CLINIC FLANDREAU $0.00 0
$0.00Tribal Totals 0
Report Totals 83586.2 856
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** Total amount of payments initiated during the above referenced calendar quarter. * Number of recipient(s) for claims entered (pended, paid, or denied) during the above referenced calendar quarter.
