Hospital
Pocahontas Community Hospital
Pocahontas Community Hospital was paid $483K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 23% of everything it billed.
33Billing provider infoPOCAHONTAS COMMUNITY HOSPITAL
POCAHONTAS, IA 50574
POCAHONTAS, IA 50574
33aNPI1346241213assigned 08/02/2005
33bProvider typeCritical Access Hospital
28Total paid$483K
24GClaims12,208
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#55 of 79
Median peer was paid$801K
This provider vs. median0.6×
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 | 1,771 | $68K | |
| 2019 | 879 | $31K | |
| 2020 | 1,138 | $42K | |
| 2021 | 2,218 | $111K | |
| 2022 | 2,811 | $112K | |
| 2023 | 2,621 | $92K | |
| 2024incomplete | 770 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 23% | 2,184 | 2,000 | $112K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 15% | 876 | 799 | $72K |
| 36415 | Collection of venous blood by venipuncture | 12% | 3,395 | 3,009 | $56K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12% | 2,248 | 2,094 | $56K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 12% | 1,864 | 1,696 | $56K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 365 | 326 | $50K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 4.7% | 127 | 123 | $23K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.7% | 101 | 89 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 253 | 232 | $7K |
| 80061 | Lipid panel | 1.2% | 131 | 126 | $6K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.2% | 29 | 25 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 74 | 74 | $4K |
13 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 68 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 66 | $2K |
| 87430 | <1% | 52 | $2K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 98 | $1K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 14 | $1K |
| 81001 | <1% | 93 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 26 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | $886.51 |
| 85027 | <1% | 27 | $879.65 | |
| 84439 | <1% | 12 | $797.43 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 13 | $763.28 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 13 | $653.61 |
| 87081 | <1% | 31 | $564.02 |
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 officialROETMAN, JAMES (CEO)