Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELLSWORTH MUNICIPAL HOSPITAL

NPI: 1043229735 · IOWA FALLS, IA 50126 · Physician Assistant · NPI assigned 08/05/2006

$1.19M
Total Medicaid Paid
31,657
Total Claims
28,459
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVON MOCK, GEORGE (CEO)
Parent OrganizationELLSWORTH MUNICIPAL HOSPITAL
NPI Enumeration Date08/05/2006

Related Entities

Other providers sharing the same authorized official: VON MOCK, GEORGE

ProviderCityStateTotal Paid
ELLSWORTH MUNICIPAL HOSPITAL IOWA FALLS IA $3.76M
ELLSWORTH MUNICIPAL HOSPITAL ZEARING IA $480K
ELLSWORTH MUNICIPAL HOSPITAL ACKLEY IA $249K
ELLSWORTH MUNICIPAL HOSPITAL ZEARING IA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,201 $142K
2019 4,952 $198K
2020 3,520 $125K
2021 5,642 $169K
2022 4,575 $184K
2023 4,822 $192K
2024 3,945 $176K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,511 10,850 $616K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,498 11,364 $453K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 221 211 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,808 1,757 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 524 470 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 127 124 $11K
87561 458 439 $10K
90686 681 659 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 181 171 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 108 104 $8K
90472 Immunization administration, each additional vaccine (list separately) 221 217 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 307 298 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 261 252 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 27 $2K
99442 32 29 $932.50
99072 1,489 1,298 $688.91
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $645.16
90656 35 34 $333.67
90649 14 14 $290.74
99441 12 12 $175.71
36415 Collection of venous blood by venipuncture 41 39 $110.32
81003 42 38 $88.37
3074F 28 25 $40.00
3078F 19 15 $20.00