NP / PA
Ellsworth Municipal Hospital
Ellsworth Municipal Hospital was paid $15K by Medicaid between Jan 2018 and Feb 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoELLSWORTH MUNICIPAL HOSPITAL
IOWA FALLS, IA 50126
IOWA FALLS, IA 50126
33aNPI1053738765assigned 03/20/2014
33bProvider typeAdvanced Practice Midwife
28Total paid$15K
24GClaims540
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Advanced Practice Midwife providers in Iowa
Rank by total paid#4 of 9
Median peer was paid$12K
This provider vs. median1.3×
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 | 522 | $15K | |
| 2019 | 18 | $91.56 |
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 | 57% | 296 | 267 | $9K |
| 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 | 34% | 138 | 120 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 40 | 36 | $841.69 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 14 | 13 | $189.09 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | 13 | $122.47 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | 17 | $106.12 |
| 81025 | <1% | 18 | 12 | $91.56 |
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 officialWHITE, MICHAEL (CEO)
Parent organizationELLSWORTH MUNICIPAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Caslen Living Centers, INC. | Whitehall, MT | $4.20M |
| Pineville Independent Schools | Pineville, KY | $23K |
| Healogics Wound Care Supply, LLC | Jacksonville, FL | $4K |
| Monument Women's Healthcare, LLC | Grand Junction, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.