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.
FORT DODGE, IA 50501
Next to other Orthopaedic Surgery Physician providers in Iowa
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,431 | $753K | |
| 2019 | 8,944 | $587K | |
| 2020 | 7,991 | $573K | |
| 2021 | 15,155 | $916K | |
| 2022 | 8,684 | $659K | |
| 2023 | 8,356 | $640K | |
| 2024incomplete | 6,261 | $470K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Trinity Regional Medical Center | Fort Dodge, IA | $12.36M |
| Trinity Regional Medical Center | Fort Dodge, IA | $6.43M |
| Trinity Regional Medical Center | Fort Dodge, IA | $5.71M |
| Trinity Regional Medical Center | Storm Lake, IA | $5.68M |
| Trinity Regional Medical Center | Humboldt, IA | $2.59M |
| Trinity Regional Medical Center | Fort Dodge, IA | $2.50M |
| Trinity Regional Medical Center | Eagle Grove, IA | $2.22M |
| Trinity Regional Medical Center | Storm Lake, IA | $2.03M |
| Trinity Regional Medical Center | Fort Dodge, IA | $2.02M |
| Trinity Regional Medical Center | Pocahontas, IA | $1.80M |
| Trinity Regional Medical Center | Sac City, IA | $1.62M |
| Trinity Regional Medical Center | Laurens, IA | $779K |
| Trinity Regional Medical Center | Manson, IA | $529K |
| Trinity Regional Medical Center | Lake View, IA | $320K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.