Physician
Unitypoint Health - Marshalltown
Unitypoint Health - Marshalltown was paid $3.63M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoUNITYPOINT HEALTH - MARSHALLTOWN
MARSHALLTOWN, IA 50158
MARSHALLTOWN, IA 50158
33aNPI1164957593assigned 04/24/2017
33bProvider typeAnesthesiology Physician
28Total paid$3.63M
24GClaims62,431
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Iowa
Rank by total paid#2 of 15
Median peer was paid$11K
This provider vs. median328×
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 | 10,766 | $414K | |
| 2019 | 13,535 | $701K | |
| 2020 | 7,934 | $492K | |
| 2021 | 8,510 | $502K | |
| 2022 | 9,449 | $577K | |
| 2023 | 7,316 | $529K | |
| 2024incomplete | 4,921 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 19,912 | 19,082 | $1.56M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 8,766 | 8,397 | $976K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 11,207 | 10,663 | $575K |
| 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 | 5.7% | 4,049 | 3,677 | $207K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 4,333 | 3,666 | $127K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 8,222 | 7,467 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 849 | 762 | $49K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,908 | 967 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 504 | 436 | $11K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 430 | 382 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 604 | 575 | $8K |
| 0012A | <1% | 171 | 171 | $6K |
13 more codes
| 0011A | <1% | 166 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 90 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 36 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 44 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 72 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 227 | $655.19 |
| 99460 | <1% | 13 | $632.86 | |
| 97597 | <1% | 129 | $483.11 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 37 | $334.22 |
| 81002 | <1% | 44 | $116.72 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $7.20 |
| 91301 | 0% | 347 | $0.00 | |
| 99024 | 0% | 255 | $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 officialDELAGARDELLE, PAMELA (CEO)
Parent organizationUNITYPOINT HEALTH - MARSHALLTOWN
| Provider | Location | Paid |
|---|---|---|
| Allen Memorial Hospital Corporation | Waterloo, IA | $21.93M |
| Unitypoint Health - Marshalltown | Marshalltown, IA | $15.92M |
| Allen Memorial Hospital Corporation | Waterloo, IA | $6.96M |
| Unitypoint Health - Marshalltown | Marshalltown, IA | $3.65M |
| Unitypoint Health - Marshalltown | Conrad, IA | $2.24M |
| Allen Memorial Hospital Corporation | Waterloo, IA | $2.14M |
| Unitypoint Health - Marshalltown | Toledo, IA | $1.47M |
| Unitypoint Health - Marshalltown | State Center, IA | $820K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.