Hospital
Shenandoah Medical Center
Shenandoah Medical Center was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99284, emergency room visit (serious) — 26% of everything it billed.
33Billing provider infoSHENANDOAH MEDICAL CENTER
SHENANDOAH, IA 51601
SHENANDOAH, IA 51601
33aNPI1184621096assigned 07/07/2005
33bProvider typeCritical Access Hospital
28Total paid$2.40M
24GClaims68,294
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#12 of 79
Median peer was paid$801K
This provider vs. median3.0×
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 | 13,898 | $356K | |
| 2019 | 12,349 | $387K | |
| 2020 | 7,596 | $257K | |
| 2021 | 10,824 | $402K | |
| 2022 | 11,303 | $519K | |
| 2023 | 8,157 | $335K | |
| 2024incomplete | 4,167 | $145K |
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 | 26% | 5,008 | 3,733 | $620K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 12% | 10,097 | 8,145 | $282K |
| 36415 | Collection of venous blood by venipuncture | 10% | 16,322 | 13,179 | $246K |
| 80053 | Comprehensive metabolic panel | 8.9% | 5,631 | 4,588 | $215K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.8% | 2,216 | 2,063 | $140K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.1% | 2,744 | 2,577 | $122K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.6% | 1,883 | 1,673 | $86K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.3% | 715 | 615 | $80K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 1,442 | 1,153 | $43K |
| 87081 | 1.6% | 1,643 | 1,535 | $39K | |
| 81001 | 1.2% | 2,440 | 1,992 | $30K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 1.2% | 337 | 157 | $29K |
69 more codes
| 87480 | 1.1% | 1,059 | $27K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.1% | 1,259 | $26K |
| 94760 | 1.1% | 1,890 | $26K | |
| 87660 | 1.0% | 1,076 | $25K | |
| 87510 | 1.0% | 1,058 | $24K | |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 574 | $20K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 206 | $19K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 639 | $18K |
| 87581 | <1% | 169 | $15K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 594 | $14K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 105 | $14K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 691 | $13K |
| 93040 | <1% | 353 | $12K | |
| 99285 | Emergency room visit (most serious) | <1% | 94 | $12K |
| S5170 | Home delivered meals, including preparation; per meal | <1% | 251 | $12K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 605 | $12K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 310 | $11K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 310 | $11K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 36 | $10K |
| 83605 | <1% | 612 | $10K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 309 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 439 | $9K |
| 87430 | <1% | 448 | $9K | |
| 84145 | <1% | 210 | $8K | |
| 93000 | <1% | 194 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 42 | $7K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 179 | $7K |
| 76818 | <1% | 65 | $7K | |
| 80061 | Lipid panel | <1% | 161 | $7K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 27 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 67 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 109 | $5K |
| 93041 | <1% | 60 | $4K | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | <1% | 35 | $4K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 127 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 150 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 56 | $3K |
| 84484 | <1% | 137 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 101 | $2K |
| 82553 | <1% | 110 | $2K | |
| 80050 | General health panel | <1% | 14 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 32 | $2K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 150 | $2K |
| 86140 | <1% | 122 | $2K | |
| 83735 | <1% | 155 | $1K | |
| 80306 | <1% | 12 | $1K | |
| 84702 | <1% | 33 | $1K | |
| 82550 | <1% | 111 | $1K | |
| 73562 | <1% | 14 | $1K | |
| 84439 | <1% | 59 | $1K | |
| J2704 | Injection, propofol, 10 mg | <1% | 44 | $1K |
| 83655 | <1% | 47 | $1K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 20 | $1K |
| 87631 | <1% | 15 | $900.84 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 71 | $822.16 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 49 | $749.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $648.17 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 72 | $561.76 |
| 83690 | <1% | 35 | $552.26 | |
| 36416 | <1% | 80 | $544.94 | |
| 87807 | <1% | 15 | $493.65 | |
| 84165 | <1% | 19 | $463.56 | |
| A9270 | Non-covered item or service | <1% | 1,332 | $327.57 |
| 86900 | <1% | 16 | $304.25 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $273.35 |
| 85651 | <1% | 21 | $198.61 | |
| 86850 | <1% | 16 | $152.10 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 264 | $53.28 |
| 87650 | <1% | 28 | $40.09 |
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 officialCOLE, KAREN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Medical Center | Shenandoah, IA | $9.45M |
| Genesis Counseling Center, INC | Camden, NJ | $1.02M |
| Genesis Counseling Center, INC. | Camden, NJ | $944K |
| Genesis Counseling Center, INC | Collingswood, NJ | $849K |
| Genesis Counseling Center, INC | Marlton, NJ | $799K |
| Shenandoah Medical Center | Shenandoah, IA | $316K |
| Shenandoah Medical Center | Sidney, IA | $300K |
| Genesis Counseling Center, INC. | Marlton, NJ | $212K |
| Shenandoah Medical Center | Shenandoah, IA | $22K |
| Shenandoah Medical Center | Shenandoah, IA | $189.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.