Clinic
Grinnell Regional Medical Center
Grinnell Regional Medical Center was paid $5.60M by Medicaid between Dec 2020 and Dec 2024, across 50 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 infoGRINNELL REGIONAL MEDICAL CENTER
GRINNELL, IA 50112
GRINNELL, IA 50112
33aNPI1396355343assigned 08/05/2020
33bProvider typeRural Health Clinic/Center
28Total paid$5.60M
24GClaims62,360
24DCodes billed50
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#15 of 182
Median peer was paid$561K
This provider vs. median10.0×
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 | |
|---|---|---|---|
| 2020 | 849 | $62K | |
| 2021 | 14,131 | $1.14M | |
| 2022 | 15,576 | $1.37M | |
| 2023 | 17,083 | $1.47M | |
| 2024incomplete | 14,721 | $1.56M |
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% | 27,025 | 22,126 | $5.55M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,599 | 1,562 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 779 | 672 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 576 | 565 | $9K |
| 90461 | <1% | 855 | 836 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 234 | 229 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 262 | 261 | $2K |
| 90677 | <1% | 303 | 298 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 542 | 532 | $1K |
| 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% | 11,138 | 9,889 | $491.01 |
| 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% | 6,043 | 5,526 | $417.71 |
| 20610 | <1% | 83 | 78 | $330.45 |
38 more codes
| 90739 | <1% | 67 | $256.24 | |
| 96127 | <1% | 606 | $184.53 | |
| 3074F | <1% | 124 | $180.00 | |
| 3079F | <1% | 61 | $140.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,192 | $126.60 |
| 90686 | <1% | 1,131 | $121.15 | |
| 90715 | <1% | 279 | $85.23 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 703 | $81.37 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,715 | $76.35 |
| 3078F | <1% | 102 | $60.00 | |
| 0134A | <1% | 69 | $40.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 229 | $20.36 |
| 3075F | <1% | 37 | $20.00 | |
| 99173 | <1% | 215 | $10.45 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,500 | $6.34 |
| 3008F | 0% | 298 | $0.00 | |
| 90651 | 0% | 38 | $0.00 | |
| 90656 | 0% | 237 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 46 | $0.00 |
| 90723 | 0% | 77 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 90732 | 0% | 15 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 14 | $0.00 |
| 91306 | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 488 | $0.00 |
| 90734 | 0% | 49 | $0.00 | |
| 90633 | 0% | 51 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 431 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 54 | $0.00 |
| 90670 | 0% | 243 | $0.00 | |
| 90648 | 0% | 219 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 361 | $0.00 |
| 59425 | 0% | 2,091 | $0.00 | |
| 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) | 0% | 42 | $0.00 |
| 69210 | 0% | 14 | $0.00 | |
| 91313 | 0% | 29 | $0.00 | |
| 96160 | 0% | 27 | $0.00 | |
| 90750 | 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 officialCAVAZOS, DAVID-PAUL (RURAL PRESIDENT)
Parent organizationGRINNELL REGIONAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Grinnell Regional Medical Center | Grinnell, IA | $2.22M |
| Grinnell Regional Medical Center | Grinnell, IA | $865K |
| Grinnell Regional Medical Center | Montezuma, IA | $152K |
| Grinnell Regional Medical Center | Grinnell, IA | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.