NP / PA
ST Luke's Jones Regional Medical Center
ST Luke's Jones Regional Medical Center was paid $1.38M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoST LUKE'S JONES REGIONAL MEDICAL CENTER
MONTICELLO, IA 52310
MONTICELLO, IA 52310
33aNPI1053853234assigned 11/05/2016
33bProvider typePhysician Assistant
28Total paid$1.38M
24GClaims30,409
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Iowa
Rank by total paid#9 of 34
Median peer was paid$49K
This provider vs. median28×
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 | 3,236 | $143K | |
| 2019 | 4,182 | $189K | |
| 2020 | 4,810 | $212K | |
| 2021 | 4,373 | $201K | |
| 2022 | 4,710 | $218K | |
| 2023 | 4,987 | $217K | |
| 2024incomplete | 4,111 | $196K |
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 | 99% | 14,422 | 12,456 | $1.36M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 611 | 607 | $5K |
| 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% | 7,672 | 6,883 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 433 | 425 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 342 | 339 | $2K |
| 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 | <1% | 2,994 | 2,822 | $832.44 |
| 90461 | <1% | 87 | 87 | $777.74 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 112 | 111 | $553.98 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 12 | 12 | $462.30 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 794 | 773 | $259.92 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | 13 | $203.81 |
| 96127 | <1% | 45 | 44 | $61.51 |
14 more codes
| 3074F | <1% | 12 | $20.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,366 | $19.34 |
| 99173 | <1% | 120 | $14.63 | |
| 90686 | 0% | 497 | $0.00 | |
| 3008F | 0% | 357 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 90656 | 0% | 39 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 197 | $0.00 |
| 90715 | 0% | 24 | $0.00 | |
| 90734 | 0% | 70 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 34 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 39 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 17 | $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 officialBRIESEMEISTER, ERIC (CEO)
Parent organizationST LUKE'S JONES REGIONAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $2.81M |
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $2.06M |
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $1.54M |
| ST Luke's Jones Regional Medical Center | Vinton, IA | $1.49M |
| ST Luke's Jones Regional Medical Center | Belle Plaine, IA | $1.27M |
| ST Luke's Jones Regional Medical Center | Clarence, IA | $1.00M |
| ST Luke's Jones Regional Medical Center | Tipton, IA | $908K |
| ST Luke's Jones Regional Medical Center | Shellsburg, IA | $349K |
| ST. Luke's Jones Regional Medical Center | Anamosa, IA | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.