Medicaid Provider Spending

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

SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION

NPI: 1245235944 · CHEROKEE, IA 51012 · Rural Health Clinic/Center · NPI assigned 06/17/2005

$4.78M
Total Medicaid Paid
73,982
Total Claims
60,524
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIERMAN, JOAN (CFO)
NPI Enumeration Date06/17/2005

Related Entities

Other providers sharing the same authorized official: BIERMAN, JOAN

ProviderCityStateTotal Paid
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION MARCUS IA $445K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION AURELIA IA $390K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION HOLSTEIN IA $372K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION CHEROKEE IA $252K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION CHEROKEE IA $147K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION CHEROKEE IA $140K
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION CHEROKEE IA $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,857 $618K
2019 10,659 $649K
2020 8,840 $562K
2021 11,238 $704K
2022 11,334 $728K
2023 11,218 $757K
2024 10,836 $767K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 35,565 27,377 $4.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,358 8,144 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,747 14,012 $2K
81003 1,010 925 $336.96
36415 Collection of venous blood by venipuncture 3,879 3,525 $168.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 832 783 $0.00
99215 Prolong outpt/office vis 102 92 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 742 598 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 267 220 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 445 441 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,110 1,713 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 293 287 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 29 27 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 849 838 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 708 551 $0.00
81025 190 181 $0.00
90715 29 25 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 138 120 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 318 302 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 93 92 $0.00
99308 Subsequent nursing facility care, per day, straightforward 14 12 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 31 30 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 15 14 $0.00
87807 55 54 $0.00
90792 Psychiatric diagnostic evaluation with medical services 12 12 $0.00
90686 127 125 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $0.00