Montgomery County Memorial Hospital
Montgomery County Memorial Hospital was paid $524K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
33Billing provider infoMONTGOMERY COUNTY MEMORIAL HOSPITAL
RED OAK, IA 51566
RED OAK, IA 51566
33aNPI1265405310assigned 02/09/2006
33bProvider typeRegistered Dietitian
28Total paid$524K
24GClaims15,099
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Registered Dietitian providers in Iowa
Rank by total paid#4 of 6
Median peer was paid$524K
This provider vs. median1.0×
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 | 3,575 | $119K | |
| 2019 | 3,022 | $101K | |
| 2020 | 2,683 | $86K | |
| 2021 | 1,843 | $63K | |
| 2022 | 2,387 | $83K | |
| 2023 | 1,099 | $46K | |
| 2024incomplete | 490 | $25K |
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 | 37% | 3,946 | 3,747 | $196K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 3,667 | 3,049 | $113K |
| 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 | 19% | 2,295 | 1,989 | $99K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7.6% | 1,580 | 1,495 | $40K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.3% | 372 | 345 | $28K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.9% | 76 | 75 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 827 | 744 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 100 | 93 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 127 | 118 | $6K |
| Q3014 | Telehealth originating site facility fee | <1% | 324 | 234 | $5K |
| 96127 | <1% | 53 | 51 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 709 | 619 | $2K |
16 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 174 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 171 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $803.55 |
| 90688 | <1% | 92 | $768.94 | |
| 93042 | <1% | 104 | $742.69 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $575.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 178 | $498.61 |
| 90686 | <1% | 42 | $408.65 | |
| 99307 | <1% | 38 | $336.01 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 54 | $300.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $266.50 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $234.25 |
| 84520 | <1% | 28 | $87.50 | |
| 82565 | <1% | 15 | $57.03 | |
| 84132 | <1% | 14 | $26.12 | |
| 84295 | <1% | 14 | $13.66 |
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 officialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent organizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Montgomery County Memorial Hospital | Red Oak, IA | $1.90M |
| Montgomery County Memorial Hospital | Red Oak, IA | $1.67M |
| Montgomery County Memorial Hospital | Malvern, IA | $1.03M |
| Montgomery County Memorial Hospital | Villisca, IA | $218K |
| Montgomery County Memorial Hospital | Red Oak, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.