Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONTGOMERY COUNTY MEMORIAL HOSPITAL

NPI: 1417667072 · VILLISCA, IA 50864 · Rural Health Clinic/Center · NPI assigned 12/05/2022

$218K
Total Medicaid Paid
3,290
Total Claims
2,576
Beneficiaries
8
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent OrganizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date12/05/2022

Related Entities

Other providers sharing the same authorized official: KLOEWER, RONALD

ProviderCityStateTotal Paid
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $1.90M
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $1.67M
MONTGOMERY COUNTY MEMORIAL HOSPITAL MALVERN IA $1.03M
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $524K
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,487 $76K
2024 1,803 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,834 1,393 $218K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 444 376 $56.78
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 754 591 $36.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $0.00
96127 22 14 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 35 26 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 169 150 $0.00