Hospital
Waverly Health Center
Waverly Health Center was paid $650K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.
33Billing provider infoWAVERLY HEALTH CENTER
WAVERLY, IA 50677
WAVERLY, IA 50677
33aNPI1447299953assigned 06/06/2006
33bProvider typeCritical Access Hospital
28Total paid$650K
24GClaims15,658
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#47 of 79
Median peer was paid$801K
This provider vs. median0.8×
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 | 2,522 | $94K | |
| 2019 | 1,964 | $84K | |
| 2020 | 1,237 | $38K | |
| 2021 | 2,037 | $79K | |
| 2022 | 3,819 | $144K | |
| 2023 | 2,726 | $145K | |
| 2024incomplete | 1,353 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 1,374 | 1,273 | $148K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 504 | 443 | $82K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 3,495 | 3,192 | $71K |
| 80053 | Comprehensive metabolic panel | 10% | 2,755 | 2,556 | $66K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.2% | 542 | 530 | $47K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.8% | 166 | 151 | $44K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 6.3% | 38 | 37 | $41K |
| 36415 | Collection of venous blood by venipuncture | 6.2% | 3,064 | 2,639 | $40K |
| 86140 | 2.1% | 635 | 594 | $13K | |
| 83605 | 1.9% | 399 | 366 | $12K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 341 | 321 | $12K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.6% | 87 | 27 | $11K |
27 more codes
| 87428 | 1.5% | 153 | $10K | |
| 82550 | 1.2% | 512 | $8K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 53 | $6K |
| 84484 | <1% | 191 | $5K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 46 | $5K |
| 83690 | <1% | 208 | $3K | |
| 87081 | <1% | 151 | $3K | |
| 87631 | <1% | 45 | $3K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 16 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 74 | $2K |
| 81001 | <1% | 204 | $2K | |
| 82150 | <1% | 179 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 41 | $2K |
| 85652 | <1% | 116 | $2K | |
| 80305 | <1% | 59 | $927.85 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $918.04 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 12 | $918.04 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 12 | $867.39 |
| 87430 | <1% | 29 | $702.34 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 42 | $617.01 |
| 84703 | <1% | 24 | $424.12 | |
| 82803 | <1% | 13 | $365.63 | |
| 85730 | <1% | 13 | $242.25 | |
| A0425 | Ground mileage, per statute mile | <1% | 16 | $216.10 |
| 85610 | <1% | 13 | $162.61 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12 | $136.23 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $121.70 |
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 officialGEERTS, JODI (CEO)
| Provider | Location | Paid |
|---|---|---|
| Waverly Health Center | Waverly, IA | $3.54M |
| Waverly Health Center | Waverly, IA | $3.37M |
| Waverly Health Center | Shell Rock, IA | $1.34M |
| Waverly Health Center | Nashua, IA | $688K |
| Waverly Health Center | Waverly, IA | $624K |
| Waverly Health Center - Ambulance | Waverly, IA | $340K |
| Waverly Health Center | Waverly, IA | $222K |
| Waverly Health Center | Janesville, IA | $146K |
| Waverly Health Center | Waverly, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.