NP / PA
Community Health Centers of Southeastern Iowa INC
Community Health Centers of Southeastern Iowa INC was paid $35.38M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
WEST BURLINGTON, IA 52655
WEST BURLINGTON, IA 52655
33aNPI1255339750assigned 07/08/2005
33bProvider typePhysician Assistant
28Total paid$35.38M
24GClaims582,344
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Iowa
Rank by total paid#1 of 34
Median peer was paid$49K
This provider vs. median728×
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 | 64,874 | $3.19M | |
| 2019 | 72,064 | $3.83M | |
| 2020 | 59,698 | $3.92M | |
| 2021 | 88,210 | $6.76M | |
| 2022 | 90,733 | $7.16M | |
| 2023 | 110,566 | $6.27M | |
| 2024incomplete | 96,199 | $4.25M |
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 | 75% | 126,096 | 93,731 | $26.52M |
| D9999 | Unspecified adjunctive procedure, by report | 14% | 37,458 | 33,439 | $5.05M |
| D0999 | Unspecified diagnostic procedure, by report | 9.2% | 15,337 | 13,736 | $3.27M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 4,134 | 3,671 | $252K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 5,296 | 4,581 | $93K |
| 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% | 61,208 | 52,179 | $65K |
| 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% | 27,729 | 24,720 | $40K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 177 | 153 | $20K |
| D1999 | <1% | 53 | 48 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,712 | 3,619 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,543 | 2,434 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,450 | 7,299 | $5K |
145 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 6,580 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,043 | $3K |
| 99490 | Ccm add 20min | <1% | 1,179 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,065 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,909 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,997 | $2K |
| 99409 | <1% | 213 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 9,424 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,858 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,347 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,757 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,963 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,762 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 50 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,025 | $1K |
| 91322 | <1% | 14 | $1K | |
| 96156 | <1% | 600 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,035 | $1K |
| 90686 | <1% | 1,143 | $878.99 | |
| 90677 | <1% | 82 | $840.00 | |
| 90651 | <1% | 186 | $822.70 | |
| 90734 | <1% | 139 | $789.57 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 133 | $768.00 |
| 90656 | <1% | 365 | $677.64 | |
| 3074F | <1% | 5,504 | $540.00 | |
| 3079F | <1% | 1,659 | $500.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 605 | $478.15 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 238 | $461.56 |
| 90716 | <1% | 436 | $416.71 | |
| 80305 | <1% | 364 | $414.40 | |
| 3078F | <1% | 4,844 | $360.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,025 | $352.88 |
| 3077F | <1% | 523 | $340.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 710 | $330.52 |
| 3075F | <1% | 842 | $320.00 | |
| 90619 | <1% | 32 | $315.96 | |
| 90707 | <1% | 434 | $306.71 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 446 | $282.22 |
| 3044F | <1% | 150 | $220.00 | |
| 90715 | <1% | 236 | $217.00 | |
| 99442 | <1% | 619 | $206.67 | |
| 83655 | <1% | 1,361 | $199.89 | |
| D0120 | Dental checkup, returning patient | <1% | 15,890 | $193.14 |
| 90480 | <1% | 17 | $160.72 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,972 | $158.36 |
| 90474 | <1% | 176 | $151.88 | |
| 90696 | <1% | 167 | $117.08 | |
| 99384 | <1% | 20 | $105.26 | |
| 99385 | <1% | 15 | $102.04 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 188 | $97.86 |
| 81002 | <1% | 874 | $96.18 | |
| D1206 | Topical application of fluoride varnish | <1% | 19,178 | $89.18 |
| 90633 | <1% | 478 | $82.45 | |
| D1110 | Prophylaxis - adult | <1% | 5,350 | $81.89 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 794 | $73.76 |
| 85018 | <1% | 1,800 | $73.31 | |
| 36416 | <1% | 2,817 | $72.91 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 924 | $68.16 |
| 99201 | <1% | 109 | $66.17 | |
| D0274 | Bitewings - four radiographic images | <1% | 4,746 | $58.88 |
| 90648 | <1% | 675 | $56.68 | |
| 90473 | <1% | 259 | $52.36 | |
| 87280 | <1% | 402 | $51.12 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $40.65 |
| 3051F | <1% | 14 | $40.00 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,061 | $39.12 |
| 96158 | <1% | 679 | $38.16 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,227 | $26.68 |
| 99173 | <1% | 1,234 | $25.35 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,985 | $21.05 |
| 86803 | <1% | 28 | $20.28 | |
| 96159 | <1% | 302 | $19.08 | |
| 83026 | <1% | 1,863 | $16.75 | |
| 90670 | <1% | 139 | $16.71 | |
| 90680 | <1% | 546 | $16.71 | |
| 90723 | <1% | 504 | $16.71 | |
| 81025 | <1% | 40 | $16.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 67 | $3.32 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 147 | $1.35 |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,814 | $0.01 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 1,320 | $0.00 |
| 4040F | 0% | 2,406 | $0.00 | |
| 1159F | 0% | 7,198 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 13,871 | $0.00 |
| D1354 | 0% | 1,369 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 1,824 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 2,632 | $0.00 |
| 2028F | 0% | 14 | $0.00 | |
| 4004F | 0% | 124 | $0.00 | |
| 99188 | 0% | 141 | $0.00 | |
| 1160F | 0% | 7,199 | $0.00 | |
| 4274F | 0% | 3,528 | $0.00 | |
| 90461 | 0% | 23 | $0.00 | |
| 90700 | 0% | 162 | $0.00 | |
| D4910 | 0% | 135 | $0.00 | |
| D2140 | 0% | 165 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 51 | $0.00 |
| 90836 | 0% | 18 | $0.00 | |
| 87634 | 0% | 13 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 21 | $0.00 |
| 3046F | 0% | 27 | $0.00 | |
| 90681 | 0% | 45 | $0.00 | |
| 54150 | 0% | 27 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 29 | $0.00 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 25 | $0.00 |
| 3045F | 0% | 12 | $0.00 | |
| D0602 | 0% | 5,330 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 4,103 | $0.00 |
| 2010F | 0% | 10,211 | $0.00 | |
| 3353F | 0% | 463 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 14,238 | $0.00 |
| 1126F | 0% | 948 | $0.00 | |
| 99460 | 0% | 341 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 767 | $0.00 |
| D0601 | 0% | 7,898 | $0.00 | |
| 1034F | 0% | 1,884 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 2,170 | $0.00 |
| 4037F | 0% | 815 | $0.00 | |
| 3080F | 0% | 495 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 3,155 | $0.00 |
| D0603 | 0% | 6,141 | $0.00 | |
| 3008F | 0% | 8,491 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 53 | $0.00 |
| 4010F | 0% | 1,048 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 1,571 | $0.00 |
| D1330 | 0% | 14,746 | $0.00 | |
| 2001F | 0% | 8,835 | $0.00 | |
| 1036F | 0% | 6,780 | $0.00 | |
| 3351F | 0% | 1,849 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 19 | $0.00 |
| D1353 | 0% | 143 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 12 | $0.00 |
| 99462 | 0% | 79 | $0.00 | |
| D7111 | 0% | 300 | $0.00 | |
| D9995 | 0% | 79 | $0.00 | |
| 1125F | 0% | 936 | $0.00 | |
| 2000F | 0% | 6,990 | $0.00 | |
| D1310 | 0% | 286 | $0.00 | |
| 99383 | 0% | 15 | $0.00 | |
| D2331 | 0% | 51 | $0.00 | |
| D2330 | 0% | 32 | $0.00 | |
| 3352F | 0% | 916 | $0.00 | |
| 99441 | 0% | 94 | $0.00 | |
| 90688 | 0% | 53 | $0.00 | |
| 90697 | 0% | 25 | $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 officialFLORES, ANTONIO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Centers of Southeastern Iowa, INC | Keokuk, IA | $8.75M |
| Community Health Centers of Southeastern Iowa, INC | Keokuk, IA | $1.77M |
| Community Health Centers of Southeastern Iowa INC | Hamilton, IL | $888K |
| Community Health Centers of Southeastern Iowa INC | Columbus City, IA | $673K |
| Antonio A. Flores M.D. P.A. | Seguin, TX | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.