Clinic
Avera Holy Family
Avera Holy Family was paid $433K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoAVERA HOLY FAMILY
ESTHERVILLE, IA 51334
ESTHERVILLE, IA 51334
33aNPI1083652887assigned 06/03/2006
33bProvider typeClinic/Center
28Total paid$433K
24GClaims11,276
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Iowa
Rank by total paid#8 of 45
Median peer was paid$74K
This provider vs. median5.9×
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 | 1,972 | $71K | |
| 2019 | 2,319 | $87K | |
| 2020 | 1,431 | $59K | |
| 2021 | 1,768 | $70K | |
| 2022 | 1,388 | $54K | |
| 2023 | 1,502 | $60K | |
| 2024incomplete | 896 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 8,896 | 8,061 | $314K |
| 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 | 24% | 1,838 | 1,636 | $103K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 97 | 90 | $6K |
| 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) | <1% | 176 | 161 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | 67 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 17 | 17 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 20 | 16 | $1K |
| 90686 | <1% | 49 | 46 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 12 | $1K |
| 99442 | <1% | 15 | 14 | $499.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | 72 | $478.06 |
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 officialHERZBERG, DEB (CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera Holy Family | Estherville, IA | $488K |
| Avera Holy Family | Estherville, IA | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.