Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › SULLY › PELLA REGIONAL HEALTH CENTER

PELLA REGIONAL HEALTH CENTER

NPI: 1104860808 · SULLY, IA 50251 · Rural Health Clinic/Center · NPI assigned 06/15/2006

$70K
Total Medicaid Paid
931
Total Claims
815
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKROESE, ROBERT (CEO)
Parent OrganizationPELLA REGIONAL HEALTH CENTER
NPI Enumeration Date06/15/2006

Related Entities

Other providers sharing the same authorized official: KROESE, ROBERT

ProviderCityStateTotal Paid
PELLA REGIONAL HEALTH CENTER OTTUMWA IA $5.31M
PELLA REGIONAL HEALTH CENTER PELLA IA $3.07M
PELLA REGIONAL HEALTH CENTER PELLA IA $1.92M
PELLA REGIONAL HEALTH CENTER PRAIRIE CITY IA $259K
PELLA REGIONAL HEALTH CENTER PELLA IA $52K
PELLA REGIONAL HEALTH CENTER OTTUMWA IA $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $4K
2019 226 $14K
2020 227 $14K
2021 144 $13K
2022 152 $13K
2023 107 $9K
2024 29 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 817 720 $70K
90686 14 12 $100.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $38.45
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86 71 $0.00