Physician
Ottumwa Health Group LLC
Ottumwa Health Group LLC was paid $2.25M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoOTTUMWA HEALTH GROUP LLC
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1386956290assigned 07/08/2010
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2.25M
24GClaims86,531
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Iowa
Rank by total paid#2 of 10
Median peer was paid$83K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
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 | 18,041 | $476K | |
| 2019 | 18,953 | $510K | |
| 2020 | 13,633 | $391K | |
| 2021 | 13,604 | $263K | |
| 2022 | 10,038 | $283K | |
| 2023 | 9,305 | $241K | |
| 2024incomplete | 2,957 | $89K |
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 | 46% | 36,915 | 33,333 | $1.04M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 6,150 | 5,793 | $374K |
| 20610 | 8.2% | 4,040 | 3,498 | $185K | |
| 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 | 6.3% | 3,601 | 3,271 | $142K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.1% | 1,071 | 1,002 | $93K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 1,859 | 719 | $56K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 2,035 | 805 | $41K |
| 76801 | 1.3% | 300 | 270 | $30K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 359 | 330 | $27K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.1% | 1,761 | 900 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,127 | 983 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,507 | 1,394 | $18K |
54 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 320 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,340 | $16K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 154 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,223 | $12K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 396 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,654 | $11K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,495 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 418 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 249 | $10K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,042 | $9K |
| 97597 | <1% | 1,544 | $9K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 211 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 143 | $8K |
| 99460 | <1% | 185 | $8K | |
| 90686 | <1% | 532 | $7K | |
| 81025 | <1% | 1,119 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 302 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | $4K |
| 73560 | <1% | 214 | $4K | |
| 51798 | <1% | 532 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 786 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $1K |
| 59025 | Fetal non-stress test | <1% | 52 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 379 | $1K |
| 99462 | <1% | 40 | $1K | |
| 99221 | <1% | 17 | $964.80 | |
| 81002 | <1% | 370 | $854.00 | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $819.54 |
| 73502 | <1% | 29 | $512.70 | |
| 73562 | <1% | 25 | $495.68 | |
| 0012A | <1% | 12 | $449.28 | |
| 0011A | <1% | 15 | $365.71 | |
| 90674 | <1% | 12 | $206.71 | |
| 73030 | <1% | 12 | $204.31 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | $126.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $87.92 |
| 86308 | <1% | 15 | $87.76 | |
| 3078F | <1% | 545 | $80.00 | |
| 3074F | <1% | 560 | $80.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 29 | $5.09 |
| 1036F | <1% | 521 | $0.02 | |
| 3725F | 0% | 271 | $0.00 | |
| 1159F | 0% | 504 | $0.00 | |
| 1160F | 0% | 864 | $0.00 | |
| 99072 | 0% | 106 | $0.00 | |
| 3288F | 0% | 45 | $0.00 | |
| 3077F | 0% | 18 | $0.00 | |
| 1126F | 0% | 243 | $0.00 | |
| 1125F | 0% | 146 | $0.00 | |
| 3008F | 0% | 830 | $0.00 | |
| 3079F | 0% | 60 | $0.00 | |
| 1034F | 0% | 51 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.