Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Trinity Regional Medical Center

Trinity Regional Medical Center was paid $4.60M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.

33Billing provider infoTRINITY REGIONAL MEDICAL CENTER
FORT DODGE, IA 50501
33aNPI1073594156assigned 11/07/2005
28Total paid$4.60M
24GClaims71,822
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Iowa

Rank by total paid#1 of 10
Median peer was paid$83K
This provider vs. median55×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GLASGO, LEAH controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201816,431$753K
20198,944$587K
20207,991$573K
202115,155$916K
20228,684$659K
20238,356$640K
2024incomplete6,261$470K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 38% 23,068 22,163 $1.75M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 23% 9,974 9,567 $1.07M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 12,928 12,425 $658K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.1% 6,439 6,031 $190K
77067 Screening mammography, bilateral, including computer-aided detection 3.2% 2,079 2,021 $149K
95811 3.0% 1,084 1,064 $139K
95806 2.9% 1,548 1,510 $133K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2.1% 756 740 $95K
87428 1.2% 439 434 $53K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,052 1,996 $40K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 772 744 $32K
99238 Hospital discharge day management, 30 minutes or less <1% 553 528 $30K
63 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 758 $28K
90961 <1% 431 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 300 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 301 $20K
99214 Doctor's office visit, returning patient (more involved) <1% 528 $17K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 173 $15K
76642 <1% 266 $11K
43249 <1% 71 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 111 $8K
99460 <1% 121 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 382 $7K
94060 <1% 394 $6K
90686 <1% 386 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 68 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 70 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 468 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 575 $5K
99203 Doctor's office visit, new patient (routine) <1% 66 $4K
99232 Hospital visit by a doctor, follow-up day <1% 159 $4K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 131 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 107 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 103 $3K
94726 <1% 289 $3K
90962 <1% 51 $3K
80061 Lipid panel <1% 185 $2K
94729 <1% 295 $2K
36415 Collection of venous blood by venipuncture <1% 786 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 261 $2K
77065 Tomosynthesis, mammo <1% 26 $2K
99219 <1% 13 $1K
90834 Psychotherapy session, about 45 minutes <1% 61 $1K
43235 <1% 14 $1K
83655 <1% 78 $1K
83721 <1% 171 $1K
90461 <1% 414 $1K
90651 <1% 30 $1K
99462 <1% 30 $1K
80053 Comprehensive metabolic panel <1% 102 $979.72
77080 <1% 34 $915.05
80048 Basic metabolic panel (calcium, ionized) <1% 100 $757.67
99223 Prolong inpt eval add15 m <1% 15 $717.95
84443 Thyroid stimulating hormone (TSH) <1% 59 $716.10
90710 <1% 65 $609.13
99239 Hospital discharge day management, more than 30 minutes <1% 12 $547.99
90670 <1% 207 $542.79
97597 <1% 122 $496.45
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 32 $436.83
90715 <1% 13 $201.20
81001 <1% 58 $180.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 43 $167.08
90734 <1% 29 $123.28
85004 <1% 15 $119.73
81003 <1% 41 $114.12
84460 <1% 28 $109.06
83036 Hemoglobin; glycosylated (A1C) <1% 12 $96.46
90648 <1% 14 $72.53
90700 <1% 13 $72.15
99308 Subsequent nursing facility care, per day, straightforward <1% 43 $68.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 68 $59.08
90633 <1% 13 $31.95
90647 <1% 159 $26.23
90723 0% 148 $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 officialGLASGO, LEAH (CEO)
Parent organizationTRINITY REGIONAL MEDICAL CENTER
Same official

Other billing entities under GLASGO, LEAH

Full network →
ProviderLocationPaid
Trinity Regional Medical CenterFort Dodge, IA$12.36M
Trinity Regional Medical CenterFort Dodge, IA$6.43M
Trinity Regional Medical CenterFort Dodge, IA$5.71M
Trinity Regional Medical CenterStorm Lake, IA$5.68M
Trinity Regional Medical CenterHumboldt, IA$2.59M
Trinity Regional Medical CenterFort Dodge, IA$2.50M
Trinity Regional Medical CenterEagle Grove, IA$2.22M
Trinity Regional Medical CenterStorm Lake, IA$2.03M
Trinity Regional Medical CenterFort Dodge, IA$2.02M
Trinity Regional Medical CenterPocahontas, IA$1.80M
Trinity Regional Medical CenterSac City, IA$1.62M
Trinity Regional Medical CenterLaurens, IA$779K
Trinity Regional Medical CenterManson, IA$529K
Trinity Regional Medical CenterLake View, IA$320K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.