Mason City Clinic PC

Mason City Clinic PC was paid $1.07M by Medicaid between Jan 2018 and Sep 2024, across 47 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 21% of everything it billed.

33Billing provider infoMASON CITY CLINIC PC
MASON CITY, IA 50401

33aNPI1043254055assigned 06/16/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$1.07M

24GClaims29,616

24DCodes billed47

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Iowa

Rank by total paid#4 of 18

Median peer was paid$2K

This provider vs. median541×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	12,978	$423K
2019	12,725	$505K
2020	2,887	$135K
2021	97	$3K
2022	476	$5K
2023	252	$2K
2024incomplete	201	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90792	Psychiatric diagnostic evaluation with medical services	21%	2,308	2,163	$223K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	19%	3,239	2,444	$209K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	6,170	5,567	$148K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.1%	1,068	1,045	$65K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.7%	3,842	3,545	$62K
99239	Hospital discharge day management, more than 30 minutes	5.6%	1,090	1,032	$60K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4.7%	1,612	1,457	$50K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.3%	458	449	$46K
99238	Hospital discharge day management, 30 minutes or less	2.7%	594	559	$29K
11721		2.1%	1,679	1,599	$23K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.1%	509	492	$22K
20610		1.8%	388	341	$20K

35 more codes

99308	Subsequent nursing facility care, per day, straightforward	1.2%	1,286	$13K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.1%	763	$12K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	613	$10K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	81	$8K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	41	$7K
69210		<1%	266	$7K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	40	$7K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	224	$6K
73630		<1%	848	$6K
31575		<1%	65	$6K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	254	$4K
80305		<1%	286	$3K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	40	$3K
51798		<1%	315	$3K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	<1%	36	$2K
92504		<1%	90	$2K
73610		<1%	109	$2K
95811		<1%	13	$2K
99307		<1%	108	$2K
99152		<1%	158	$2K
64483		<1%	17	$2K
81000		<1%	549	$1K
95885		<1%	28	$1K
74178		<1%	14	$970.90
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	85	$959.92
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	15	$630.95
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	78	$585.56
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	22	$396.97
99336		<1%	24	$357.37
73110		<1%	13	$280.76
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	26	$239.59
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	94	$178.01
11056		<1%	14	$136.89
99335		<1%	13	$29.78
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	31	$25.21

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialYOUNG, DANA (ADMINISTRATOR)