Countryside Medical Clinic, LLC

Countryside Medical Clinic, LLC was paid $191K by Medicaid between Jan 2018 and Feb 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoCOUNTRYSIDE MEDICAL CLINIC, LLC
RED OAK, IA 51566

33aNPI1396103685assigned 02/02/2016

33bProvider typePrimary Care Clinic/Center

28Total paid$191K

24GClaims5,433

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Iowa

Rank by total paid#15 of 31

Median peer was paid$145K

This provider vs. median1.3×

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	222	$10K
2019	379	$13K
2020	821	$25K
2021	996	$31K
2022	2,034	$74K
2023	920	$35K
2024incomplete	61	$2K

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	67%	2,863	2,041	$128K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	1,744	1,291	$47K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	4.0%	317	209	$8K
90838		1.7%	47	27	$3K
87428		1.0%	14	12	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	53	41	$1K
90688		<1%	16	12	$403.80
36415	Collection of venous blood by venipuncture	<1%	165	157	$363.80
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	140	107	$347.14
90756		<1%	20	19	$251.81
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	19	17	$233.07
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	35	30	$140.64

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 officialRINES, KIMBERLY (NURSE PRACTITIONER)