Physician
Pella Regional Health Center
Pella Regional Health Center was paid $3.07M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPELLA REGIONAL HEALTH CENTER
PELLA, IA 50219
PELLA, IA 50219
33aNPI1053369405assigned 05/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.07M
24GClaims116,803
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#22 of 275
Median peer was paid$69K
This provider vs. median44×
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 | 11,225 | $327K | |
| 2019 | 14,391 | $407K | |
| 2020 | 16,375 | $435K | |
| 2021 | 20,395 | $506K | |
| 2022 | 25,944 | $632K | |
| 2023 | 16,242 | $426K | |
| 2024incomplete | 12,231 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 52,847 | 46,625 | $1.34M |
| 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 | 16% | 11,123 | 9,857 | $477K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.1% | 3,723 | 3,477 | $186K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.0% | 2,468 | 2,256 | $185K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.2% | 7,264 | 5,925 | $130K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 1,654 | 1,570 | $109K |
| 87428 | 3.0% | 3,271 | 3,025 | $93K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 9,733 | 9,275 | $89K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 2,442 | 2,331 | $51K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 561 | 540 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,675 | 3,316 | $37K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 1,313 | 1,219 | $33K |
50 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.1% | 459 | $33K |
| 90686 | <1% | 2,905 | $29K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,358 | $23K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 401 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,133 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 426 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 535 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 311 | $14K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 937 | $13K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 418 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 159 | $13K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 487 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 167 | $12K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 418 | $11K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 378 | $10K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 574 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 476 | $9K |
| 76830 | Ultrasound, transvaginal | <1% | 270 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 721 | $6K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 273 | $5K |
| 20610 | <1% | 95 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 109 | $2K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 43 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 26 | $1K |
| 90670 | <1% | 371 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 403 | $1K |
| 87807 | <1% | 190 | $1K | |
| 98926 | <1% | 27 | $785.97 | |
| 73630 | <1% | 110 | $749.87 | |
| 74019 | <1% | 85 | $746.71 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $738.12 |
| 95251 | <1% | 14 | $701.64 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $466.34 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 55 | $447.14 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 56 | $438.42 |
| 90656 | <1% | 58 | $406.15 | |
| 81003 | <1% | 359 | $385.41 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 16 | $381.72 |
| 90474 | <1% | 55 | $343.00 | |
| 99460 | <1% | 16 | $276.96 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $247.28 |
| 90710 | <1% | 12 | $213.71 | |
| 99462 | <1% | 21 | $184.85 | |
| 90648 | <1% | 416 | $110.06 | |
| 73564 | <1% | 15 | $108.30 | |
| 73610 | <1% | 15 | $92.84 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 110 | $35.74 |
| 90677 | <1% | 27 | $0.12 | |
| 90723 | 0% | 107 | $0.00 | |
| 90680 | 0% | 54 | $0.00 |
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 officialKROESE, ROBERT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pella Regional Health Center | Ottumwa, IA | $5.31M |
| Pella Regional Health Center | Pella, IA | $1.92M |
| Pella Regional Health Center | Prairie City, IA | $259K |
| Pella Regional Health Center | Sully, IA | $70K |
| Pella Regional Health Center | Pella, IA | $52K |
| Pella Regional Health Center | Ottumwa, IA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.