Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVERA HOLY FAMILY

NPI: 1083652887 · ESTHERVILLE, IA 51334 · Clinic/Center · NPI assigned 06/03/2006

$433K
Total Medicaid Paid
11,276
Total Claims
10,192
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERZBERG, DEB (CEO)
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: HERZBERG, DEB

ProviderCityStateTotal Paid
AVERA HOLY FAMILY ESTHERVILLE IA $488K
AVERA HOLY FAMILY ESTHERVILLE IA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 896 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,896 8,061 $314K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,838 1,636 $103K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 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) 176 161 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 74 67 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17 17 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 20 16 $1K
90686 49 46 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 12 $1K
99442 15 14 $499.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 81 72 $478.06