NP / PA
Spencer Municipal Hospital
Spencer Municipal Hospital was paid $10K by Medicaid between Jan 2019 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoSPENCER MUNICIPAL HOSPITAL
SIOUX RAPIDS, IA 50585
SIOUX RAPIDS, IA 50585
33aNPI1275723934assigned 07/30/2007
33bProvider typeNurse Practitioner
28Total paid$10K
24GClaims344
24DCodes billed3
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Iowa
Rank by total paid#49 of 76
Median peer was paid$25K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 12 | $674.30 | |
| 2021 | 18 | $404.25 | |
| 2022 | 99 | $3K | |
| 2023 | 60 | $2K | |
| 2024incomplete | 155 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 316 | 270 | $9K |
| 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 | 6.9% | 12 | 12 | $674.30 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.6% | 16 | 15 | $550.83 |
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 | $3.20M |
| 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 | 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.