Hospital
Monroe County Hospital
Monroe County Hospital was paid $837K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 25% of everything it billed.
33Billing provider infoMONROE COUNTY HOSPITAL
ALBIA, IA 52531
ALBIA, IA 52531
33aNPI1205895299assigned 03/20/2006
33bProvider typeCritical Access Hospital
28Total paid$837K
24GClaims16,576
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#39 of 79
Median peer was paid$801K
This provider vs. median1.0×
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 | 2,174 | $90K | |
| 2019 | 2,653 | $124K | |
| 2020 | 2,231 | $115K | |
| 2021 | 3,351 | $171K | |
| 2022 | 3,158 | $161K | |
| 2023 | 2,445 | $139K | |
| 2024incomplete | 564 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 25% | 3,873 | 3,246 | $206K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 1,290 | 1,163 | $156K |
| 80053 | Comprehensive metabolic panel | 15% | 2,324 | 2,075 | $124K |
| 36415 | Collection of venous blood by venipuncture | 8.1% | 4,165 | 3,339 | $68K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.7% | 411 | 353 | $56K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.3% | 666 | 634 | $44K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.7% | 379 | 371 | $39K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.2% | 638 | 624 | $27K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.2% | 486 | 355 | $19K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 2.0% | 244 | 206 | $17K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 305 | 287 | $14K |
| 86140 | 1.5% | 336 | 258 | $12K |
24 more codes
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 113 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.0% | 78 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 124 | $8K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 614 | $7K |
| 80061 | Lipid panel | <1% | 80 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 57 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 13 | $2K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 13 | $1K |
| 87634 | <1% | 16 | $1K | |
| 84484 | <1% | 16 | $962.18 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 122 | $959.03 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $915.51 |
| 86038 | <1% | 13 | $741.46 | |
| 85651 | <1% | 24 | $713.12 | |
| 87486 | <1% | 13 | $671.19 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 13 | $559.28 |
| 85379 | <1% | 12 | $444.08 | |
| 83735 | <1% | 15 | $438.75 | |
| 83605 | <1% | 13 | $328.53 | |
| 81001 | <1% | 12 | $326.08 | |
| 87581 | <1% | 13 | $242.08 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 13 | $242.08 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 30 | $188.51 |
| 81002 | <1% | 13 | $69.47 |
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 officialFUHS, VERONICA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Monroe County Hospital | Albia, IA | $4.43M |
| Monroe County Hospital | Albia, IA | $110K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.