Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Decatur County Hospital

Decatur County Hospital was paid $596K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.

33Billing provider infoDECATUR COUNTY HOSPITAL
LEON, IA 50144
33aNPI1144209255assigned 01/17/2006
33bProvider typeCritical Access Hospital
28Total paid$596K
24GClaims9,991
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Iowa

Rank by total paid#48 of 79
Median peer was paid$801K
This provider vs. median0.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,503$149K
20191,723$61K
2020777$26K
2021945$51K
20221,471$111K
20231,692$125K
2024incomplete880$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 32% 879 760 $193K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 32% 1,672 1,249 $193K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12% 1,983 1,521 $73K
80053 Comprehensive metabolic panel 7.9% 748 652 $47K
36415 Collection of venous blood by venipuncture 4.1% 1,118 884 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.0% 816 725 $18K
86140 1.2% 249 228 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 142 111 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 81 77 $6K
99001 <1% 181 143 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 44 42 $4K
85652 <1% 162 151 $4K
17 more codes
80048 Basic metabolic panel (calcium, ionized) <1% 101 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 406 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 31 $2K
81001 <1% 111 $2K
84484 <1% 48 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 32 $1K
J2704 Injection, propofol, 10 mg <1% 46 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 31 $912.35
11721 <1% 50 $647.55
99203 Doctor's office visit, new patient (routine) <1% 13 $601.75
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 17 $583.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 $312.83
83735 <1% 12 $282.27
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 18 $267.59
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13 $207.21
85004 <1% 126 $41.85
A9270 Non-covered item or service 0% 847 $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.

From NPPES

Who's on the registration

Authorized officialJOHNSTON, MICHAEL (CEO)
Same official

Other billing entities under JOHNSTON, MICHAEL

Full network →
ProviderLocationPaid
Allina Health SystemOwatonna, MN$6.47M
Michael Johnston LLCStonewall, LA$415K
Decatur County HospitalLeon, IA$36K
N & J Optical Supply INCHarlan, IA$180.60

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.