Clinic
Montgomery County Memorial Hospital
Montgomery County Memorial Hospital was paid $218K by Medicaid between Feb 2023 and Dec 2024, across 8 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 infoMONTGOMERY COUNTY MEMORIAL HOSPITAL
VILLISCA, IA 50864
VILLISCA, IA 50864
33aNPI1417667072assigned 12/05/2022
33bProvider typeRural Health Clinic/Center
28Total paid$218K
24GClaims3,290
24DCodes billed8
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#130 of 182
Median peer was paid$561K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 1,487 | $76K | |
| 2024incomplete | 1,803 | $141K |
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% | 1,834 | 1,393 | $218K |
| 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% | 444 | 376 | $56.78 |
| 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% | 754 | 591 | $36.75 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | 13 | $0.00 |
| 96127 | 0% | 22 | 14 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 35 | 26 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 17 | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 169 | 150 | $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 officialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent organizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.