Physician
Unitypoint Health - Marshalltown
Unitypoint Health - Marshalltown was paid $3.65M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoUNITYPOINT HEALTH - MARSHALLTOWN
MARSHALLTOWN, IA 50158
MARSHALLTOWN, IA 50158
33aNPI1396279907assigned 04/20/2017
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$3.65M
24GClaims35,323
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Iowa
Rank by total paid#1 of 11
Median peer was paid$60K
This provider vs. median61×
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 | 2,554 | $269K | |
| 2019 | 6,387 | $574K | |
| 2020 | 6,049 | $603K | |
| 2021 | 4,714 | $556K | |
| 2022 | 4,912 | $561K | |
| 2023 | 6,102 | $615K | |
| 2024incomplete | 4,605 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 15,943 | 13,158 | $3.63M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,540 | 1,499 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,250 | 5,471 | $4K |
| 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 | <1% | 4,961 | 4,409 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 88 | 80 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 500 | 487 | $3K |
| 99460 | <1% | 65 | 63 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 411 | 391 | $2K |
| 90461 | <1% | 535 | 523 | $1K | |
| 99462 | <1% | 44 | 37 | $776.37 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 82 | 82 | $356.72 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 717 | 663 | $332.69 |
28 more codes
| 96127 | <1% | 261 | $184.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 563 | $61.34 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 235 | $44.01 |
| 96161 | <1% | 186 | $8.19 | |
| 90670 | 0% | 414 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 42 | $0.00 |
| 99173 | 0% | 103 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 27 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 43 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 33 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 0124A | 0% | 14 | $0.00 | |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 12 | $0.00 |
| 91322 | 0% | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 20 | $0.00 |
| 90680 | 0% | 244 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 189 | $0.00 |
| 90723 | 0% | 256 | $0.00 | |
| 3008F | 0% | 308 | $0.00 | |
| 90656 | 0% | 93 | $0.00 | |
| 90686 | 0% | 774 | $0.00 | |
| 90647 | 0% | 244 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 90480 | 0% | 14 | $0.00 | |
| 91306 | 0% | 14 | $0.00 | |
| 90677 | 0% | 31 | $0.00 | |
| 92551 | 0% | 12 | $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 officialDELAGARDELLE, PAMELA (CEO)
Parent organizationUNITYPOINT HEALTH - MARSHALLTOWN
| Provider | Location | Paid |
|---|---|---|
| Allen Memorial Hospital Corporation | Waterloo, IA | $21.93M |
| Unitypoint Health - Marshalltown | Marshalltown, IA | $15.92M |
| Allen Memorial Hospital Corporation | Waterloo, IA | $6.96M |
| Unitypoint Health - Marshalltown | Marshalltown, IA | $3.63M |
| Unitypoint Health - Marshalltown | Conrad, IA | $2.24M |
| Allen Memorial Hospital Corporation | Waterloo, IA | $2.14M |
| Unitypoint Health - Marshalltown | Toledo, IA | $1.47M |
| Unitypoint Health - Marshalltown | State Center, IA | $820K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.