Physician
Sioux Center Health
Sioux Center Health was paid $63K by Medicaid between Jan 2019 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoSIOUX CENTER HEALTH
HAWARDEN, IA 51023
HAWARDEN, IA 51023
33aNPI1225507510assigned 11/16/2018
33bProvider typeFamily Medicine Physician
28Total paid$63K
24GClaims2,568
24DCodes billed6
24AFirst – last monthJan 2019 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#145 of 275
Median peer was paid$69K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2019 | 382 | $8K | |
| 2020 | 331 | $7K | |
| 2021 | 455 | $10K | |
| 2022 | 542 | $14K | |
| 2023 | 647 | $18K | |
| 2024incomplete | 211 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 2,027 | 1,697 | $55K |
| 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 | 6.5% | 145 | 117 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 195 | 178 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 21 | 12 | $1K |
| 90686 | 1.8% | 135 | 130 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | 40 | $73.30 |
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 officialRICHTER, CRYSTAL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sioux Center Health | Sioux Center, IA | $705K |
| Sioux Center Health | Sioux Center, IA | $168K |
| Sioux Center Health | Sioux Center, IA | $57K |
| Sioux Center Health | Sioux Center, IA | $432.30 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.