Medicaid Provider Spending

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

OTTUMWA HEALTH GROUP LLC

NPI: 1386956290 · OTTUMWA, IA 52501 · Orthopaedic Surgery Physician · NPI assigned 07/08/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$2.25M
Total Medicaid Paid
86,531
Total Claims
73,754
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date07/08/2010

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,957 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,915 33,333 $1.04M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,150 5,793 $374K
20610 4,040 3,498 $185K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,601 3,271 $142K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,071 1,002 $93K
99232 Subsequent hospital care, per day, moderate complexity 1,859 719 $56K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,035 805 $41K
76801 300 270 $30K
99222 Initial hospital care, per day, moderate complexity 359 330 $27K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,761 900 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,127 983 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,507 1,394 $18K
99239 Hospital discharge day management, more than 30 minutes 320 295 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,340 1,263 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 154 134 $12K
36415 Collection of venous blood by venipuncture 5,223 4,644 $12K
90832 Psychotherapy, 30 minutes with patient 396 87 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,654 1,311 $11K
J1040 Injection, methylprednisolone acetate, 80 mg 1,495 1,310 $11K
99233 Prolong inpt eval add15 m 418 200 $11K
99238 Hospital discharge day management, 30 minutes or less 249 210 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,042 2,589 $9K
97597 1,544 863 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 211 179 $9K
99215 Prolong outpt/office vis 143 117 $8K
99460 185 131 $8K
90686 532 497 $7K
81025 1,119 994 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 302 289 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 55 $4K
73560 214 195 $4K
51798 532 397 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 786 714 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 24 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 26 $2K
90791 Psychiatric diagnostic evaluation 15 14 $1K
59025 Fetal non-stress test 52 42 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 379 344 $1K
99462 40 26 $1K
99221 17 17 $964.80
81002 370 340 $854.00
99223 Prolong inpt eval add15 m 13 13 $819.54
73502 29 24 $512.70
73562 25 24 $495.68
0012A 12 12 $449.28
0011A 15 13 $365.71
90674 12 12 $206.71
73030 12 12 $204.31
90460 Immunization administration through 18 years of age via any route, first or only component 14 12 $126.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $87.92
86308 15 15 $87.76
3078F 545 464 $80.00
3074F 560 456 $80.00
G0008 Administration of influenza virus vaccine 29 25 $5.09
1036F 521 414 $0.02
3725F 271 230 $0.00
1159F 504 447 $0.00
1160F 864 705 $0.00
99072 106 98 $0.00
3288F 45 44 $0.00
3077F 18 13 $0.00
1126F 243 207 $0.00
1125F 146 116 $0.00
3008F 830 681 $0.00
3079F 60 55 $0.00
1034F 51 45 $0.00