Agency
Southeast Polk Community School District
Southeast Polk Community School District was paid $20.89M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 96159, — 40% of everything it billed.
33Billing provider infoSOUTHEAST POLK COMMUNITY SCHOOL DISTRICT
PLEASANT HILL, IA 50327
PLEASANT HILL, IA 50327
33aNPI1154482982assigned 12/13/2006
33bProvider typeLocal Education Agency (LEA)
28Total paid$20.89M
24GClaims170,870
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Iowa
Rank by total paid#4 of 101
Median peer was paid$1.33M
This provider vs. median16×
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 | 21,522 | $2.79M | |
| 2019 | 23,376 | $2.87M | |
| 2020 | 16,153 | $1.97M | |
| 2021 | 29,901 | $3.40M | |
| 2022 | 29,602 | $3.63M | |
| 2023 | 27,347 | $3.42M | |
| 2024incomplete | 22,969 | $2.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96159 | 40% | 45,247 | 4,301 | $8.43M | |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 15% | 4,376 | 852 | $3.21M |
| 96152 | 15% | 18,422 | 1,434 | $3.20M | |
| A0130 | Non-emergency transportation: wheelchair van | 11% | 23,957 | 3,530 | $2.31M |
| 96158 | 5.5% | 22,257 | 4,325 | $1.16M | |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 4.8% | 12,500 | 1,625 | $1.01M |
| T2001 | Non-emergency transportation; patient attendant/escort | 4.3% | 29,478 | 3,014 | $895K |
| 96165 | 2.3% | 5,691 | 767 | $475K | |
| 96164 | <1% | 3,607 | 828 | $89K | |
| 96153 | <1% | 1,217 | 134 | $62K | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 3,016 | 448 | $34K |
| T5999 | Supply, not otherwise specified | <1% | 899 | 201 | $2K |
1 more codes
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 203 | $745.57 |
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 officialHAMILTON, MICHAEL (BUSINESS MANAGER)