Clinic
Greater Sioux Community Health Center INC.
Greater Sioux Community Health Center INC. was paid $11.31M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoGREATER SIOUX COMMUNITY HEALTH CENTER INC.
SIOUX CENTER, IA 51250
SIOUX CENTER, IA 51250
33aNPI1053582098assigned 03/18/2008
33bProvider typeCommunity Health Clinic/Center
28Total paid$11.31M
24GClaims152,505
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Iowa
Rank by total paid#2 of 6
Median peer was paid$128K
This provider vs. median89×
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 | 16,620 | $1.02M | |
| 2019 | 16,558 | $1.05M | |
| 2020 | 13,594 | $1.04M | |
| 2021 | 23,176 | $1.85M | |
| 2022 | 35,584 | $2.52M | |
| 2023 | 24,172 | $1.95M | |
| 2024incomplete | 22,801 | $1.88M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 53% | 28,738 | 22,079 | $5.95M |
| D9999 | Unspecified adjunctive procedure, by report | 33% | 19,308 | 15,734 | $3.69M |
| D0999 | Unspecified diagnostic procedure, by report | 13% | 6,501 | 5,744 | $1.45M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 10,100 | 9,636 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,522 | 7,975 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 3,687 | 2,570 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 6,618 | 6,289 | $26K |
| D1206 | Topical application of fluoride varnish | <1% | 9,402 | 8,904 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,201 | 1,540 | $17K |
| D1110 | Prophylaxis - adult | <1% | 5,498 | 5,275 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,025 | 3,833 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 3,924 | 3,832 | $8K |
62 more codes
| D0330 | Panoramic radiographic image | <1% | 2,857 | $7K |
| D1999 | <1% | 27 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,502 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 925 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,759 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 1,685 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,966 | $3K |
| D1351 | Sealant - per tooth | <1% | 1,490 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,374 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 377 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,457 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 456 | $691.28 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,071 | $533.35 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,508 | $477.03 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,093 | $335.63 |
| D2331 | <1% | 49 | $293.72 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,661 | $240.09 |
| D2330 | <1% | 32 | $233.62 | |
| 85018 | <1% | 1,123 | $151.61 | |
| W0037 | <1% | 39 | $117.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,488 | $97.96 |
| D1354 | <1% | 114 | $78.45 | |
| 90461 | <1% | 3,412 | $61.42 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 288 | $61.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 334 | $58.55 |
| D1353 | <1% | 56 | $41.01 | |
| 90686 | <1% | 753 | $28.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 876 | $21.46 |
| 87430 | <1% | 94 | $17.04 | |
| 99173 | <1% | 15 | $8.85 | |
| 81003 | <1% | 305 | $4.11 | |
| 36416 | <1% | 1,425 | $3.17 | |
| D4346 | <1% | 30 | $0.17 | |
| D4341 | <1% | 40 | $0.12 | |
| D4910 | <1% | 24 | $0.10 | |
| 83655 | 0% | 431 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,153 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 216 | $0.00 |
| 90670 | 0% | 201 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 468 | $0.00 |
| 90715 | 0% | 127 | $0.00 | |
| D0190 | 0% | 12 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 21 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 18 | $0.00 |
| 99188 | 0% | 33 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 51 | $0.00 |
| 87428 | 0% | 504 | $0.00 | |
| 90647 | 0% | 109 | $0.00 | |
| 90656 | 0% | 95 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,498 | $0.00 |
| 90723 | 0% | 92 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 52 | $0.00 |
| 87807 | 0% | 46 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 99381 | 0% | 24 | $0.00 | |
| 90480 | 0% | 14 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 15 | $0.00 |
| 92002 | 0% | 29 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 82950 | 0% | 15 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 16 | $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 officialTUSCHEN, EMILY (CEO)