Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Montgomery County Memorial Hospital

Montgomery County Memorial Hospital was paid $1.67M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoMONTGOMERY COUNTY MEMORIAL HOSPITAL
RED OAK, IA 51566
33aNPI1376539338assigned 09/26/2005
33bProvider typeCritical Access Hospital
28Total paid$1.67M
24GClaims26,462
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Iowa

Rank by total paid#21 of 79
Median peer was paid$801K
This provider vs. median2.1×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,006$206K
20193,601$202K
20202,847$188K
20213,857$291K
20225,116$354K
20234,146$237K
2024incomplete3,889$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 38% 4,933 4,366 $636K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 1,366 1,210 $295K
80053 Comprehensive metabolic panel 12% 4,573 3,970 $207K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 503 408 $181K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.5% 4,589 3,902 $109K
36415 Collection of venous blood by venipuncture 2.4% 5,936 5,038 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.0% 618 531 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.4% 112 107 $24K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 217 180 $13K
0240U <1% 63 58 $12K
84443 Thyroid stimulating hormone (TSH) <1% 241 237 $12K
96361 Intravenous infusion, hydration; each additional hour <1% 126 79 $11K
40 more codes
A4217 Sterile water/saline, 500 ml <1% 322 $10K
84484 <1% 238 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 170 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 255 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 209 $8K
84439 <1% 167 $6K
87070 <1% 127 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 89 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 268 $4K
71045 Radiologic examination, chest; single view <1% 73 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 197 $3K
99213 Doctor's office visit, returning patient (routine) <1% 130 $2K
80061 Lipid panel <1% 50 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 33 $2K
87430 <1% 90 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 71 $2K
81001 <1% 105 $1K
80306 <1% 18 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 73 $1K
71046 Radiologic examination, chest; 2 views <1% 13 $1K
82553 <1% 26 $1K
87641 <1% 17 $857.82
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 16 $848.65
99203 Doctor's office visit, new patient (routine) <1% 16 $819.45
81003 <1% 102 $795.90
83690 <1% 28 $788.13
99214 Doctor's office visit, returning patient (more involved) <1% 41 $652.52
82550 <1% 26 $590.83
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 30 $381.94
87081 <1% 26 $338.93
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 15 $308.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 38 $300.82
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 13 $293.19
87420 <1% 13 $184.42
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14 $120.48
82565 <1% 13 $65.97
84132 <1% 13 $60.29
84295 <1% 13 $57.75
84520 <1% 13 $56.34
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14 $55.52

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 officialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Same official

Other billing entities under KLOEWER, RONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.