Transport
Spencer Municipal Hospital
Spencer Municipal Hospital was paid $3.20M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99283, emergency room visit (moderate) — 29% of everything it billed.
33Billing provider infoSPENCER MUNICIPAL HOSPITAL
SPENCER, IA 51301
SPENCER, IA 51301
33aNPI1255328621assigned 09/30/2005
33bProvider typeAmbulance
28Total paid$3.20M
24GClaims55,586
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulance providers in Iowa
Rank by total paid#7 of 45
Median peer was paid$85K
This provider vs. median38×
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 | 13,053 | $449K | |
| 2019 | 8,666 | $387K | |
| 2020 | 6,636 | $242K | |
| 2021 | 7,391 | $457K | |
| 2022 | 8,502 | $544K | |
| 2023 | 6,453 | $680K | |
| 2024incomplete | 4,885 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 11,179 | 7,436 | $915K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 18% | 129 | 127 | $566K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 3,753 | 2,657 | $481K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 12% | 10,628 | 6,746 | $377K |
| A0999 | Unlisted ambulance service | 8.6% | 317 | 273 | $277K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.5% | 206 | 192 | $145K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.4% | 2,412 | 1,707 | $141K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 1,511 | 578 | $54K |
| 99223 | Prolong inpt eval add15 m | <1% | 286 | 260 | $30K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 453 | 403 | $25K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 112 | 60 | $17K |
| A0425 | Ground mileage, per statute mile | <1% | 1,272 | 1,013 | $17K |
52 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 149 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 555 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 277 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | $11K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 763 | $11K |
| D2999 | <1% | 12 | $10K | |
| 97597 | <1% | 166 | $9K | |
| 87081 | <1% | 1,359 | $9K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,458 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 108 | $7K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 49 | $6K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 200 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 45 | $5K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 93 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,980 | $4K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 149 | $4K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 116 | $4K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 90 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 4,226 | $3K |
| 99285 | Emergency room visit (most serious) | <1% | 17 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,623 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 179 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 51 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $825.56 |
| 74018 | <1% | 14 | $565.21 | |
| Q3014 | Telehealth originating site facility fee | <1% | 54 | $556.29 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 144 | $543.68 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $460.28 |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $451.46 |
| 87077 | <1% | 41 | $377.24 | |
| 81001 | <1% | 423 | $271.62 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 52 | $235.07 |
| 83605 | <1% | 27 | $207.82 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 601 | $142.04 |
| J2704 | Injection, propofol, 10 mg | <1% | 614 | $112.64 |
| 86140 | <1% | 13 | $110.96 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 576 | $97.94 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 121 | $45.92 |
| 82728 | <1% | 76 | $35.09 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 390 | $9.74 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | $7.46 |
| 83550 | <1% | 38 | $2.16 | |
| 83540 | <1% | 38 | $1.46 | |
| 87430 | 0% | 81 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 36 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 17 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 27 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 80 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 24 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 15 | $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 officialTIEFENTHALER, BRENDA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Spencer Municipal Hospital | Spencer, IA | $3.07M |
| Spencer Municipal Hospital | Spencer, IA | $335K |
| Spencer Municipal Hospital | Spencer, IA | $210K |
| Spencer Municipal Hospital | Spencer, IA | $63K |
| Spencer Municipal Hospital | Milford, IA | $23K |
| Spencer Municipal Hospital | Sioux Rapids, IA | $10K |
| Spencer Municipal Hospital | Spencer, IA | $5K |
| Spencer Municipal Hospital | Spirit Lake, IA | $3K |
| Spencer Municipal Hospital | Hartley, IA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.