NP / PA
Crown Clinics LLC
Crown Clinics LLC was paid $400K by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCROWN CLINICS LLC
SPENCER, IA 51301
SPENCER, IA 51301
33aNPI1336554393assigned 06/27/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$400K
24GClaims8,981
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Iowa
Rank by total paid#8 of 144
Median peer was paid$15K
This provider vs. median27×
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 | 999 | $36K | |
| 2019 | 976 | $52K | |
| 2020 | 725 | $31K | |
| 2021 | 1,770 | $65K | |
| 2022 | 2,514 | $119K | |
| 2023 | 1,421 | $65K | |
| 2024incomplete | 576 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 4,165 | 3,773 | $196K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 15% | 681 | 644 | $60K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 14% | 1,203 | 1,157 | $57K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 9.7% | 992 | 952 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 722 | 674 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.0% | 589 | 568 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 52 | 49 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 326 | 289 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 68 | 60 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 53 | 51 | $2K |
| 87634 | <1% | 29 | 29 | $2K | |
| 90688 | <1% | 17 | 14 | $315.05 |
4 more codes
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 officialBRUGMAN, SUE (OWNER)