Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Spahr, Karen

Spahr, Karen was paid $41K by Medicaid between Feb 2018 and Apr 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoSPAHR, KAREN
OSKALOOSA, IA 52577
33aNPI1194891374assigned 11/28/2006
28Total paid$41K
24GClaims1,226
24DCodes billed2
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers

Next to other Internal Medicine Physician providers in Iowa

Rank by total paid#25 of 65
Median peer was paid$11K
This provider vs. median3.7×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201866$3K
201915$985.37
2020150$4K
2021414$11K
2022331$12K
2023199$8K
2024incomplete51$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 98% 890 764 $40K
36415 Collection of venous blood by venipuncture 1.7% 336 301 $707.50

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.