Clinic
Iowa Specialty Hospital- Clarion
Iowa Specialty Hospital- Clarion was paid $6.84M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoIOWA SPECIALTY HOSPITAL- CLARION
CLARION, IA 50525
CLARION, IA 50525
33aNPI1396792008assigned 05/28/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.84M
24GClaims124,639
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#5 of 182
Median peer was paid$561K
This provider vs. median12×
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 | 18,731 | $964K | |
| 2019 | 20,673 | $1.06M | |
| 2020 | 16,581 | $891K | |
| 2021 | 18,666 | $1.01M | |
| 2022 | 17,992 | $1.03M | |
| 2023 | 18,726 | $1.06M | |
| 2024incomplete | 13,270 | $818K |
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 | 100% | 53,971 | 39,977 | $6.83M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,559 | 3,997 | $810.76 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,140 | 1,468 | $227.85 |
| 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% | 18,742 | 16,566 | $170.31 |
| 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% | 9,294 | 8,424 | $139.14 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 800 | 535 | $45.57 |
| 96127 | <1% | 2,644 | 2,192 | $26.00 | |
| 90474 | 0% | 791 | 773 | $0.00 | |
| 90723 | 0% | 793 | 753 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 6,062 | 5,928 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,129 | 947 | $0.00 |
| 90686 | 0% | 538 | 534 | $0.00 |
35 more codes
| 90677 | 0% | 184 | $0.00 | |
| 90688 | 0% | 44 | $0.00 | |
| 90716 | 0% | 40 | $0.00 | |
| 0001A | 0% | 38 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 114 | $0.00 |
| 90651 | 0% | 62 | $0.00 | |
| 96380 | 0% | 29 | $0.00 | |
| 90696 | 0% | 20 | $0.00 | |
| 90656 | 0% | 105 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 14 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 862 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,852 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,112 | $0.00 |
| 90681 | 0% | 269 | $0.00 | |
| 90671 | 0% | 179 | $0.00 | |
| 90685 | 0% | 76 | $0.00 | |
| 90670 | 0% | 720 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 7,320 | $0.00 |
| 90715 | 0% | 113 | $0.00 | |
| 90648 | 0% | 1,071 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 458 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 567 | $0.00 |
| 11721 | 0% | 13 | $0.00 | |
| 96160 | 0% | 16 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,269 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 174 | $0.00 |
| 0002A | 0% | 20 | $0.00 | |
| 90633 | 0% | 80 | $0.00 | |
| 90707 | 0% | 79 | $0.00 | |
| 90700 | 0% | 89 | $0.00 | |
| 90734 | 0% | 125 | $0.00 | |
| 90710 | 0% | 21 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 13 | $0.00 |
| 90713 | 0% | 16 | $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 officialSIMONIN, STEVE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Iowa Specialty Hospital - Clarion | Fort Dodge, IA | $1.90M |
| Iowa Specialty Hospital- Clarion | Clarion, IA | $1.38M |
| Iowa Specialty Hospital- Clarion | Clarion, IA | $801K |
| Iowa Specialty Hospital- Clarion | Clarion, IA | $44.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.