Medicaid Provider Spending

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

JEFFERSON COUNTY HOSPITAL

NPI: 1245643972 · FAIRFIELD, IA 52556 · Family Medicine Physician · NPI assigned 06/10/2014

$81K
Total Medicaid Paid
6,015
Total Claims
5,123
Beneficiaries
9
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFEICKERT, BRENT (CHIEF FINANCIAL OFFICER)
Parent OrganizationJEFFERSON COUNTY HOSPITAL
NPI Enumeration Date06/10/2014

Related Entities

Other providers sharing the same authorized official: FEICKERT, BRENT

ProviderCityStateTotal Paid
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $15.51M
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $3.87M
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $704K
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $6K
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 789 $1K
2020 296 $3K
2021 809 $13K
2022 1,084 $25K
2023 2,283 $23K
2024 754 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,379 1,173 $52K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,206 1,864 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,053 916 $12K
T1015 Clinic visit/encounter, all-inclusive 1,230 1,033 $381.03
90686 31 29 $319.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 57 $173.76
36415 Collection of venous blood by venipuncture 12 12 $29.59
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 26 $0.00
81003 13 13 $0.00