Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIOUXLAND MEDICAL EDUCATION FOUNDATION, INC

NPI: 1336127828 · SIOUX CITY, IA 51104 · Family Medicine Physician · NPI assigned 01/04/2006

$1.32M
Total Medicaid Paid
43,392
Total Claims
36,359
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialWERNER, JOHN (OFFICE MANAGER)
NPI Enumeration Date01/04/2006

Related Entities

Other providers sharing the same authorized official: WERNER, JOHN

ProviderCityStateTotal Paid
PAWNEE COUNTY MEMORIAL HOSPITAL PAWNEE CITY NE $181K
PAWNEE COUNTY MEMORIAL HOSPITAL PAWNEE CITY NE $165K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,165 15,404 $564K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,297 4,780 $231K
90834 Psychotherapy, 45 minutes with patient 3,550 1,908 $202K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 172 144 $99K
59025 Fetal non-stress test 1,772 1,272 $55K
99238 Hospital discharge day management, 30 minutes or less 1,170 945 $39K
90837 Psychotherapy, 53 minutes with patient 260 152 $17K
87428 237 226 $14K
96127 1,598 1,525 $14K
36415 Collection of venous blood by venipuncture 5,023 4,558 $11K
90847 Family psychotherapy with the patient present, 50 minutes 177 136 $10K
90785 2,750 1,507 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 475 309 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 974 910 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 177 173 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 103 94 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 107 99 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 253 237 $4K
83036 Hemoglobin; glycosylated (A1C) 421 376 $3K
80053 Comprehensive metabolic panel 277 261 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 425 413 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 117 104 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 29 24 $2K
80048 Basic metabolic panel (calcium, ionized) 197 177 $1K
90688 43 40 $1K
90686 79 77 $1K
81000 272 249 $904.64
90674 38 37 $738.09
90756 33 33 $569.75
0002A 12 12 $480.00
0124A 14 14 $402.82
80061 Lipid panel 26 26 $351.78
99441 26 19 $311.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 17 $271.50
87807 12 12 $200.52
91300 80 75 $0.00
91312 14 14 $0.00