NPI: 1407381031 · STATE CENTER, IA 50247 · Rural Health Clinic/Center · NPI assigned 04/20/2017
| Authorized Official | DELAGARDELLE, PAMELA (CEO) |
| Parent Organization | UNITYPOINT HEALTH - MARSHALLTOWN |
| NPI Enumeration Date | 04/20/2017 |
Other providers sharing the same authorized official: DELAGARDELLE, PAMELA
| Provider | City | State | Total 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 | $3.65M |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 828 | $81K |
| 2019 | 977 | $106K |
| 2020 | 928 | $123K |
| 2021 | 870 | $123K |
| 2022 | 921 | $131K |
| 2023 | 1,047 | $146K |
| 2024 | 726 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,790 | 3,312 | $819K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,822 | 1,651 | $440.31 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 482 | 444 | $298.43 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 38 | 38 | $196.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 25 | 25 | $17.28 |
| 36415 | Collection of venous blood by venipuncture | 37 | 36 | $3.33 |
| 90686 | 39 | 39 | $0.00 | |
| 3008F | 34 | 34 | $0.00 | |
| 99173 | 18 | 18 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $0.00 |