Physician
Monroe County Hospital
Monroe County Hospital was paid $4.43M by Medicaid between Jan 2018 and Dec 2024, across 32 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 infoMONROE COUNTY HOSPITAL
ALBIA, IA 52531
ALBIA, IA 52531
33aNPI1245469378assigned 07/10/2009
33bProvider typeFamily Medicine Physician
28Total paid$4.43M
24GClaims70,225
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#17 of 275
Median peer was paid$69K
This provider vs. median64×
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 | 7,739 | $401K | |
| 2019 | 9,591 | $569K | |
| 2020 | 10,007 | $602K | |
| 2021 | 12,076 | $766K | |
| 2022 | 13,070 | $820K | |
| 2023 | 10,496 | $750K | |
| 2024incomplete | 7,246 | $524K |
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% | 33,514 | 25,608 | $4.42M |
| 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% | 8,073 | 6,826 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 365 | 290 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 130 | 102 | $2K |
| 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% | 19,798 | 16,190 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 122 | 113 | $0.01 |
| 90461 | <1% | 246 | 222 | $0.01 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 949 | 861 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 532 | 484 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 99 | 94 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 430 | 395 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 286 | 246 | $0.00 |
20 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $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% | 367 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 94 | $0.00 |
| 90707 | 0% | 16 | $0.00 | |
| 90734 | 0% | 130 | $0.00 | |
| 90715 | 0% | 81 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90682 | 0% | 39 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 192 | $0.00 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 0% | 117 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 3,242 | $0.00 |
| 90686 | 0% | 258 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 915 | $0.00 |
| 90651 | 0% | 88 | $0.00 | |
| 90688 | 0% | 30 | $0.00 | |
| 90716 | 0% | 18 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 16 | $0.00 |
| 90673 | 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 officialFUHS, VERONICA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Monroe County Hospital | Albia, IA | $837K |
| Monroe County Hospital | Albia, IA | $110K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.