Hospital
Stewart Memorial Community Hospital
Stewart Memorial Community Hospital was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 25% of everything it billed.
33Billing provider infoSTEWART MEMORIAL COMMUNITY HOSPITAL
LAKE CITY, IA 51449
LAKE CITY, IA 51449
33aNPI1063497188assigned 12/12/2005
33bProvider typeCritical Access Hospital
28Total paid$1.25M
24GClaims48,261
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#32 of 79
Median peer was paid$801K
This provider vs. median1.6×
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 | 5,955 | $109K | |
| 2019 | 6,589 | $129K | |
| 2020 | 7,064 | $196K | |
| 2021 | 9,385 | $372K | |
| 2022 | 7,711 | $201K | |
| 2023 | 6,490 | $134K | |
| 2024incomplete | 5,067 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 25% | 9,550 | 7,750 | $307K |
| 36415 | Collection of venous blood by venipuncture | 13% | 15,772 | 12,620 | $157K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 10,110 | 8,093 | $133K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 10% | 532 | 516 | $130K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.3% | 1,872 | 828 | $66K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.2% | 150 | 129 | $53K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.2% | 1,509 | 1,405 | $52K |
| 86140 | 4.0% | 1,768 | 1,356 | $50K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.9% | 2,821 | 2,593 | $49K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.5% | 167 | 159 | $44K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.2% | 265 | 241 | $40K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.7% | 612 | 574 | $34K |
28 more codes
| G0378 | Hospital observation service, per hour | 2.1% | 59 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 258 | $14K |
| 81001 | <1% | 810 | $12K | |
| 87807 | <1% | 275 | $10K | |
| 87428 | <1% | 77 | $7K | |
| 87486 | <1% | 82 | $6K | |
| 87581 | <1% | 82 | $6K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 82 | $6K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 45 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 103 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 171 | $4K |
| 80061 | Lipid panel | <1% | 80 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 235 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 99 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 43 | $3K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $2K |
| 87081 | <1% | 104 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 34 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 33 | $2K |
| 84439 | <1% | 30 | $2K | |
| 81003 | <1% | 68 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 77 | $1K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 33 | $1K |
| 84703 | <1% | 45 | $1K | |
| 80305 | <1% | 25 | $991.42 | |
| 85027 | <1% | 44 | $378.23 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 82 | $360.79 |
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 officialHENKENIUS, JAMES (CFO)
| Provider | Location | Paid |
|---|---|---|
| Stewart Memorial Community Hospital | Lake City, IA | $4.24M |
| Stewart Memorial Community Hospital | Rockwell City, IA | $1.22M |
| Stewart Memorial Community Hospital | Gowrie, IA | $1.11M |
| Stewart Memorial Community Hospital | Lake View, IA | $924K |
| Stewart Memorial Community Hospital | Lake City, IA | $57K |
| Stewart Memorial Community Hospital | Lake City, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.