Clinic
Sioux Valley Memorial Hospital Association
Sioux Valley Memorial Hospital Association was paid $4.78M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
CHEROKEE, IA 51012
CHEROKEE, IA 51012
33aNPI1245235944assigned 06/17/2005
33bProvider typeRural Health Clinic/Center
28Total paid$4.78M
24GClaims73,982
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#20 of 182
Median peer was paid$561K
This provider vs. median8.5×
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 | 9,857 | $618K | |
| 2019 | 10,659 | $649K | |
| 2020 | 8,840 | $562K | |
| 2021 | 11,238 | $704K | |
| 2022 | 11,334 | $728K | |
| 2023 | 11,218 | $757K | |
| 2024incomplete | 10,836 | $767K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 35,565 | 27,377 | $4.78M |
| 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 | <1% | 9,358 | 8,144 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16,747 | 14,012 | $2K |
| 81003 | <1% | 1,010 | 925 | $336.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,879 | 3,525 | $168.48 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 832 | 783 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 102 | 92 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 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) | 0% | 267 | 220 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 445 | 441 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,110 | 1,713 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 293 | 287 | $0.00 |
16 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 29 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 849 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 708 | $0.00 |
| 81025 | 0% | 190 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 138 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 318 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 93 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 14 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 31 | $0.00 |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 0% | 15 | $0.00 |
| 87807 | 0% | 55 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 12 | $0.00 |
| 90686 | 0% | 127 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 12 | $0.00 |
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 officialBIERMAN, JOAN (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.