NPI: 1316054034 · SHELBY, IA 51570 · Rural Health Clinic/Center · NPI assigned 08/25/2006
| Authorized Official | JACOBSEN, BARRY (CEO) |
| Parent Organization | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 08/25/2006 |
Other providers sharing the same authorized official: JACOBSEN, BARRY
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $6.23M |
| SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $3.36M |
| SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $2.94M |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $1.51M |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | EARLING | IA | $396K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | AVOCA | IA | $295K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | ELK HORN | IA | $66K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $90.87 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,006 | $72K |
| 2019 | 1,399 | $90K |
| 2020 | 1,362 | $94K |
| 2021 | 897 | $69K |
| 2022 | 727 | $59K |
| 2023 | 803 | $63K |
| 2024 | 478 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,922 | 3,493 | $487K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,527 | 2,278 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 90 | 90 | $197.58 |
| 90686 | 51 | 51 | $101.29 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 55 | 53 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 12 | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15 | 15 | $0.00 |