Physician
Siouxland Medical Education Foundation, INC
Siouxland Medical Education Foundation, INC was paid $1.32M by Medicaid between Jan 2018 and Jun 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSIOUXLAND MEDICAL EDUCATION FOUNDATION, INC
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
33aNPI1336127828assigned 01/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.32M
24GClaims43,392
24DCodes billed37
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#35 of 275
Median peer was paid$69K
This provider vs. median19×
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 | 8,075 | $237K | |
| 2019 | 8,513 | $293K | |
| 2020 | 5,628 | $181K | |
| 2021 | 8,993 | $255K | |
| 2022 | 8,651 | $243K | |
| 2023 | 3,532 | $109K |
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 | 43% | 17,165 | 15,404 | $564K |
| 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 | 18% | 5,297 | 4,780 | $231K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 3,550 | 1,908 | $202K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.5% | 172 | 144 | $99K |
| 59025 | Fetal non-stress test | 4.2% | 1,772 | 1,272 | $55K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.9% | 1,170 | 945 | $39K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 260 | 152 | $17K |
| 87428 | 1.0% | 237 | 226 | $14K | |
| 96127 | 1.0% | 1,598 | 1,525 | $14K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,023 | 4,558 | $11K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 177 | 136 | $10K |
| 90785 | <1% | 2,750 | 1,507 | $9K |
25 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 475 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 974 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 177 | $5K |
| 99283 | Emergency room visit (moderate) | <1% | 103 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 107 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 253 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 421 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 277 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 425 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 117 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 29 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 197 | $1K |
| 90688 | <1% | 43 | $1K | |
| 90686 | <1% | 79 | $1K | |
| 81000 | <1% | 272 | $904.64 | |
| 90674 | <1% | 38 | $738.09 | |
| 90756 | <1% | 33 | $569.75 | |
| 0002A | <1% | 12 | $480.00 | |
| 0124A | <1% | 14 | $402.82 | |
| 80061 | Lipid panel | <1% | 26 | $351.78 |
| 99441 | <1% | 26 | $311.68 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $271.50 |
| 87807 | <1% | 12 | $200.52 | |
| 91300 | 0% | 80 | $0.00 | |
| 91312 | 0% | 14 | $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 officialWERNER, JOHN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pawnee County Memorial Hospital | Pawnee City, NE | $181K |
| Pawnee County Memorial Hospital | Pawnee City, NE | $165K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.