Physician
Shenandoah Medical Center
Shenandoah Medical Center was paid $9.45M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoSHENANDOAH MEDICAL CENTER
SHENANDOAH, IA 51601
SHENANDOAH, IA 51601
33aNPI1427300201assigned 10/04/2012
33bProvider typeFamily Medicine Physician
28Total paid$9.45M
24GClaims137,383
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#8 of 275
Median peer was paid$69K
This provider vs. median137×
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 | 19,344 | $1.23M | |
| 2019 | 22,260 | $1.39M | |
| 2020 | 18,387 | $1.23M | |
| 2021 | 21,217 | $1.56M | |
| 2022 | 22,005 | $1.60M | |
| 2023 | 19,890 | $1.30M | |
| 2024incomplete | 14,280 | $1.14M |
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 | 97% | 69,000 | 57,876 | $9.13M |
| 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 | 2.0% | 30,483 | 25,714 | $191K |
| 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% | 27,931 | 23,446 | $83K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 738 | 565 | $26K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 505 | 368 | $10K |
| 20610 | <1% | 100 | 67 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 305 | 286 | $939.85 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 40 | 37 | $896.10 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 333 | 304 | $743.59 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 293 | 208 | $670.90 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 670 | 533 | $552.37 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 209 | 177 | $336.54 |
24 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 201 | $323.71 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,546 | $232.07 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $132.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 95 | $78.82 |
| 96160 | <1% | 155 | $70.53 | |
| 69210 | <1% | 15 | $56.00 | |
| 90686 | <1% | 1,334 | $54.52 | |
| 90461 | <1% | 978 | $41.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 623 | $38.89 |
| 96127 | <1% | 150 | $22.65 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 101 | $2.50 |
| 90677 | <1% | 12 | $0.05 | |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 0% | 71 | $0.00 |
| 90656 | 0% | 115 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 30 | $0.00 |
| 99459 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 36 | $0.00 |
| 90634 | 0% | 21 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 77 | $0.00 |
| 90670 | 0% | 89 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 62 | $0.00 |
| 90655 | 0% | 12 | $0.00 | |
| 90648 | 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 officialCOLE, KAREN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Medical Center | Shenandoah, IA | $2.40M |
| Genesis Counseling Center, INC | Camden, NJ | $1.02M |
| Genesis Counseling Center, INC. | Camden, NJ | $944K |
| Genesis Counseling Center, INC | Collingswood, NJ | $849K |
| Genesis Counseling Center, INC | Marlton, NJ | $799K |
| Shenandoah Medical Center | Shenandoah, IA | $316K |
| Shenandoah Medical Center | Sidney, IA | $300K |
| Genesis Counseling Center, INC. | Marlton, NJ | $212K |
| Shenandoah Medical Center | Shenandoah, IA | $22K |
| Shenandoah Medical Center | Shenandoah, IA | $189.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.