Physician
Southeast Iowa Regional Medical Center, INC.
Southeast Iowa Regional Medical Center, INC. was paid $12.38M by Medicaid between Jan 2018 and Dec 2024, across 130 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoSOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
WEST BURLINGTON, IA 52655
WEST BURLINGTON, IA 52655
33aNPI1164433884assigned 08/10/2006
33bProvider typeGeneral Practice Physician
28Total paid$12.38M
24GClaims305,870
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Iowa
Rank by total paid#1 of 8
Median peer was paid$165K
This provider vs. median75×
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 | 76 | $12K | |
| 2019 | 170 | $28K | |
| 2020 | 29 | $5K | |
| 2021 | 33,084 | $1.16M | |
| 2022 | 90,527 | $3.44M | |
| 2023 | 106,059 | $4.28M | |
| 2024incomplete | 75,925 | $3.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 60,585 | 56,532 | $2.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 62,414 | 58,671 | $1.96M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 22,287 | 21,514 | $1.73M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.2% | 10,303 | 9,834 | $1.14M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.3% | 7,467 | 7,174 | $651K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.8% | 15,479 | 14,924 | $593K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.4% | 11,995 | 11,587 | $542K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 10,002 | 9,752 | $511K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 3,554 | 2,279 | $236K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 4,324 | 3,998 | $190K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 2,219 | 2,090 | $188K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 2,528 | 2,204 | $174K |
118 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.3% | 5,319 | $165K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 2,235 | $165K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 2,649 | $164K |
| 96127 | 1.2% | 8,324 | $146K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,916 | $123K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16,995 | $109K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,722 | $97K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,564 | $96K |
| 90837 | Psychotherapy session, about an hour | <1% | 703 | $67K |
| 76830 | Ultrasound, transvaginal | <1% | 807 | $57K |
| 11721 | <1% | 4,446 | $54K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,433 | $54K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,278 | $53K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,985 | $50K |
| 99223 | Prolong inpt eval add15 m | <1% | 571 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 646 | $49K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 674 | $47K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 541 | $45K |
| A0425 | Ground mileage, per statute mile | <1% | 262 | $44K |
| 87634 | <1% | 494 | $31K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,704 | $26K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,484 | $26K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 419 | $24K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 167 | $22K |
| 59025 | Fetal non-stress test | <1% | 682 | $19K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 230 | $18K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,413 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 381 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 168 | $14K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 271 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 202 | $13K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 122 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 453 | $11K |
| 90461 | <1% | 2,397 | $11K | |
| 20610 | <1% | 213 | $9K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 117 | $9K |
| 94060 | <1% | 690 | $9K | |
| 72114 | <1% | 293 | $9K | |
| 88307 | <1% | 94 | $8K | |
| 99460 | <1% | 119 | $7K | |
| 76801 | <1% | 57 | $6K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 516 | $6K |
| 94726 | <1% | 587 | $5K | |
| 88312 | <1% | 171 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 933 | $4K |
| 88304 | <1% | 295 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 425 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,053 | $4K |
| 73630 | <1% | 155 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 398 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 44 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 233 | $3K |
| 94729 | <1% | 632 | $3K | |
| 92134 | <1% | 181 | $3K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 97 | $3K |
| 81025 | <1% | 380 | $3K | |
| 11720 | <1% | 564 | $3K | |
| 90686 | <1% | 1,585 | $3K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 74 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 117 | $2K |
| 73610 | <1% | 113 | $2K | |
| 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) | <1% | 205 | $2K |
| 93016 | <1% | 117 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 112 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 127 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,171 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 66 | $2K |
| 97162 | <1% | 41 | $2K | |
| 99220 | <1% | 28 | $2K | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 33 | $2K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 13 | $2K |
| 93018 | <1% | 117 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 30 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 16 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 108 | $1K |
| 90670 | <1% | 787 | $1K | |
| 73110 | <1% | 52 | $1K | |
| 90677 | <1% | 285 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 33 | $1K |
| 83655 | <1% | 66 | $992.13 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $929.23 |
| 81003 | <1% | 365 | $894.49 | |
| 51701 | <1% | 25 | $834.39 | |
| 87210 | <1% | 116 | $799.03 | |
| 11719 | <1% | 270 | $772.69 | |
| 73564 | <1% | 38 | $757.85 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $636.55 |
| 99188 | <1% | 42 | $534.30 | |
| 99462 | <1% | 18 | $482.84 | |
| J3490 | Unclassified drugs | <1% | 193 | $468.73 |
| 99307 | <1% | 19 | $426.16 | |
| 90734 | <1% | 48 | $338.80 | |
| 73140 | <1% | 22 | $305.87 | |
| 85018 | <1% | 106 | $304.94 | |
| 90716 | <1% | 61 | $295.55 | |
| 73562 | <1% | 13 | $292.62 | |
| 94618 | <1% | 14 | $272.85 | |
| 90633 | <1% | 177 | $225.16 | |
| 90707 | <1% | 92 | $211.28 | |
| 99173 | <1% | 91 | $181.14 | |
| 74420 | <1% | 12 | $178.05 | |
| 93000 | <1% | 13 | $158.36 | |
| 92015 | Determination of refractive state | <1% | 13 | $137.25 |
| 90785 | <1% | 36 | $100.61 | |
| 11056 | <1% | 16 | $97.22 | |
| 90647 | <1% | 594 | $79.35 | |
| 90723 | <1% | 569 | $78.66 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $70.65 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 18 | $47.13 |
| 90681 | <1% | 60 | $39.04 | |
| 36416 | <1% | 62 | $21.22 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12 | $9.28 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 44 | $7.01 |
| 90651 | <1% | 39 | $0.03 | |
| 99406 | 0% | 91 | $0.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 97 | $0.00 |
| 96380 | 0% | 12 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 46 | $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 officialMCCOY, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Southeast Iowa Regional Medical Center, INC. | West Burlington, IA | $21.19M |
| Southeast Iowa Regional Medical Center, INC. | Wapello, IA | $285K |
| Southeast Iowa Regional Medical Center, INC. | West Burlington, IA | $215K |
| Southeast Iowa Regional Medical Center, INC. | West Burlington, IA | $187K |
| Southeast Iowa Regional Medical Center, INC. | Mediapolis, IA | $168K |
| Southeast Iowa Regional Medical Center, INC. | Burlington, IA | $110K |
| Southeast Iowa Regional Medical Center, INC. | Burlington, IA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.