NP / PA
Stewart Memorial Community Hospital
Stewart Memorial Community Hospital was paid $4.24M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSTEWART MEMORIAL COMMUNITY HOSPITAL
LAKE CITY, IA 51449
LAKE CITY, IA 51449
33aNPI1285652909assigned 07/18/2006
33bProvider typeNurse Practitioner
28Total paid$4.24M
24GClaims66,638
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Iowa
Rank by total paid#4 of 76
Median peer was paid$25K
This provider vs. median173×
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 | 7,676 | $481K | |
| 2019 | 8,700 | $516K | |
| 2020 | 8,323 | $519K | |
| 2021 | 9,847 | $616K | |
| 2022 | 10,661 | $668K | |
| 2023 | 10,592 | $694K | |
| 2024incomplete | 10,839 | $742K |
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 | 100% | 34,300 | 25,722 | $4.23M |
| 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% | 18,643 | 15,214 | $3K |
| 3078F | <1% | 44 | 42 | $120.00 | |
| 3074F | <1% | 41 | 39 | $60.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,845 | 1,439 | $16.73 |
| 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% | 4,678 | 4,151 | $5.58 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 622 | 589 | $5.09 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 315 | 311 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,271 | 1,259 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,058 | 1,026 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 341 | 338 | $0.00 |
| 90734 | 0% | 15 | 15 | $0.00 |
27 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 199 | $0.00 |
| 90461 | 0% | 66 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 31 | $0.00 |
| 90633 | 0% | 15 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 44 | $0.00 |
| 90648 | 0% | 30 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 18 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 48 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 27 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 44 | $0.00 |
| 90686 | 0% | 250 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,046 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 85 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 338 | $0.00 |
| 90677 | 0% | 26 | $0.00 | |
| 90688 | 0% | 204 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 96127 | 0% | 48 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 636 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 139 | $0.00 |
| 90651 | 0% | 18 | $0.00 | |
| 87807 | 0% | 15 | $0.00 | |
| 87428 | 0% | 17 | $0.00 | |
| 90656 | 0% | 56 | $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 officialHENKENIUS, JAMES (CFO)
Parent organizationSTEWART MEMORIAL COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Stewart Memorial Community Hospital | Lake City, IA | $1.25M |
| Stewart Memorial Community Hospital | Rockwell City, IA | $1.22M |
| Stewart Memorial Community Hospital | Gowrie, IA | $1.11M |
| Stewart Memorial Community Hospital | Lake View, IA | $924K |
| Stewart Memorial Community Hospital | Lake City, IA | $57K |
| Stewart Memorial Community Hospital | Lake City, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.