GREENE COUNTY MEDICAL CENTER
NPI: 1073871471
· JEFFERSON, IA 50129
· Public Health or Welfare Agency
· NPI assigned 04/24/2012
$119K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BUTTERFIELD, CHAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,290 |
$18K |
| 2019 |
1,634 |
$26K |
| 2020 |
1,392 |
$22K |
| 2021 |
1,784 |
$25K |
| 2022 |
804 |
$12K |
| 2023 |
705 |
$11K |
| 2024 |
338 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,985 |
2,797 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,417 |
1,310 |
$30K |
| 90686 |
|
1,476 |
1,369 |
$9K |
| 90651 |
|
224 |
211 |
$6K |
| 90734 |
|
275 |
257 |
$5K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
154 |
135 |
$4K |
| 0002A |
|
103 |
103 |
$4K |
| 90620 |
|
90 |
82 |
$3K |
| 0001A |
|
99 |
92 |
$2K |
| 0072A |
|
29 |
27 |
$1K |
| 0012A |
|
20 |
17 |
$600.00 |
| 0124A |
|
15 |
15 |
$520.00 |
| 0064A |
|
12 |
12 |
$440.00 |
| 90633 |
|
143 |
121 |
$402.11 |
| 0071A |
|
16 |
16 |
$400.00 |
| 90670 |
|
72 |
67 |
$373.14 |
| 0011A |
|
21 |
16 |
$363.28 |
| 90715 |
|
96 |
91 |
$312.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
147 |
$291.34 |
| 90656 |
|
48 |
47 |
$215.85 |
| 91307 |
|
57 |
49 |
$14.00 |
| 91312 |
|
14 |
14 |
$8.00 |
| 91300 |
|
300 |
268 |
$5.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 91301 |
|
97 |
75 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |