State University of Iowa

State University of Iowa was paid $33K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 90686, — 25% of everything it billed.

33Billing provider infoSTATE UNIVERSITY OF IOWA
IOWA CITY, IA 52242

33aNPI1285635664assigned 08/09/2005

33bProvider typeStudent Health Clinic/Center

28Total paid$33K

24GClaims1,737

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

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	140	$1K
2019	192	$2K
2020	86	$2K
2021	598	$11K
2022	344	$5K
2023	207	$7K
2024incomplete	170	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90686		25%	448	434	$8K
91320		22%	56	56	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13%	636	611	$5K
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	9.2%	15	13	$3K
0012A		6.8%	89	80	$2K
90480		4.9%	56	56	$2K
0031A		4.0%	36	34	$1K
0124A		3.3%	31	31	$1K
0011A		2.9%	60	55	$979.42
0134A		2.9%	27	24	$969.60
90656		2.2%	47	47	$751.55
0004A		1.9%	26	26	$640.00

6 more codes

0064A		1.2%	19	$400.00
86580		<1%	21	$191.52
36415	Collection of venous blood by venipuncture	<1%	20	$64.19
91301		0%	62	$0.00
91303		0%	36	$0.00
91300		0%	52	$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 officialKELLOGG, JAMES (DIRECTOR STUDENT HEALTH SERVICE)

Parent organizationSTATE UNIVERSITY OF IOWA