Medicaid Provider Spending

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

UNITYPOINT HEALTH - MARSHALLTOWN

NPI: 1164957593 · MARSHALLTOWN, IA 50158 · Anesthesiology Physician · NPI assigned 04/24/2017

$3.63M
Total Medicaid Paid
62,431
Total Claims
57,441
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDELAGARDELLE, PAMELA (CEO)
Parent OrganizationUNITYPOINT HEALTH - MARSHALLTOWN
NPI Enumeration Date04/24/2017

Related Entities

Other providers sharing the same authorized official: DELAGARDELLE, PAMELA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,921 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 19,912 19,082 $1.56M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,766 8,397 $976K
99283 Emergency department visit for the evaluation and management, moderate severity 11,207 10,663 $575K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,049 3,677 $207K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,333 3,666 $127K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,222 7,467 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 849 762 $49K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,908 967 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 504 436 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 430 382 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 604 575 $8K
0012A 171 171 $6K
0011A 166 166 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 90 73 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 36 35 $3K
99238 Hospital discharge day management, 30 minutes or less 44 42 $2K
99232 Subsequent hospital care, per day, moderate complexity 72 31 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 227 174 $655.19
99460 13 12 $632.86
97597 129 54 $483.11
J1885 Injection, ketorolac tromethamine, per 15 mg 37 26 $334.22
81002 44 39 $116.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 13 $7.20
91301 347 346 $0.00
99024 255 185 $0.00