Medicaid Provider Spending

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

DELAWARE COUNTY MEMORIAL HOSPITAL

NPI: 1154474609 · WINTHROP, IA 50682 · Rural Health Clinic/Center · NPI assigned 01/19/2007

$575K
Total Medicaid Paid
6,251
Total Claims
5,501
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUTIKOFER, LON (CEO)
NPI Enumeration Date01/19/2007

Related Entities

Other providers sharing the same authorized official: BUTIKOFER, LON

ProviderCityStateTotal Paid
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $10.89M
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $1.28M
DELAWARE COUNTY MEMORIAL HOSPITAL STRAWBERRY POINT IA $841K
DELAWARE COUNTY MEMORIAL HOSPITAL EDGEWOOD IA $500K
DELAWARE COUNTY MEMORIAL HOSPITAL HOPKINTON IA $352K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $242K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $141K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,273 $104K
2019 1,399 $113K
2020 649 $62K
2021 696 $55K
2022 1,061 $96K
2023 687 $78K
2024 486 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,882 3,365 $571K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 664 602 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,565 1,397 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 25 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 21 19 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 93 $0.00