Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Douglas County Hospital

Douglas County Hospital was paid $5.70M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoDOUGLAS COUNTY HOSPITAL
ALEXANDRIA, MN 56308
33aNPI1447526330assigned 03/26/2012
28Total paid$5.70M
24GClaims200,533
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Minnesota

Rank by total paid#1 of 57
Median peer was paid$14K
This provider vs. median397×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201832,728$318K
201935,293$1.16M
202029,820$850K
202133,517$1.11M
202228,339$931K
202323,257$714K
2024incomplete17,579$620K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 37,776 32,711 $1.91M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 52,613 45,514 $1.72M
X5622 6.2% 6,021 5,438 $356K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.6% 11,432 11,260 $206K
99401 2.8% 11,324 11,149 $161K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 3,252 3,216 $144K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.0% 1,539 1,302 $117K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 3,261 2,939 $111K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 2,414 2,387 $108K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.8% 1,847 1,572 $102K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.1% 1,025 1,016 $61K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1.1% 995 989 $61K
55 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 1,262 $59K
99203 Doctor's office visit, new patient (routine) 1.0% 1,410 $59K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,011 $56K
99442 <1% 1,378 $52K
99441 <1% 2,469 $51K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 9,339 $42K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,091 $39K
99204 Doctor's office visit, new patient (more involved) <1% 468 $37K
92551 <1% 6,312 $29K
99188 <1% 4,570 $26K
99336 <1% 249 $23K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 1,418 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,277 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 785 $18K
96161 <1% 1,454 $11K
99443 <1% 181 $9K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 242 $9K
99335 <1% 143 $9K
99337 <1% 61 $8K
99232 Hospital visit by a doctor, follow-up day <1% 258 $8K
91320 <1% 57 $8K
99239 Hospital discharge day management, more than 30 minutes <1% 131 $7K
17110 <1% 247 $7K
99223 Prolong inpt eval add15 m <1% 66 $6K
99173 <1% 6,232 $5K
99310 Prolong nursin fac eval 15m <1% 61 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 116 $5K
96127 <1% 1,361 $4K
90480 <1% 57 $2K
96160 <1% 1,079 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 342 $2K
99349 <1% 16 $1K
99242 <1% 26 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 46 $1K
99460 <1% 13 $885.34
99383 <1% 13 $788.50
99348 <1% 16 $738.90
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 15 $728.41
99243 <1% 12 $651.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 120 $634.57
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 49 $633.45
83655 <1% 53 $544.60
36415 Collection of venous blood by venipuncture <1% 492 $539.41
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 209 $501.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 27 $483.12
Q3014 Telehealth originating site facility fee <1% 17 $466.28
99490 Ccm add 20min <1% 46 $408.48
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 12 $353.41
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 74 $293.94
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 $146.18
94060 <1% 12 $78.36
87081 <1% 12 $64.20
1111F 0% 20,400 $0.00
99024 0% 202 $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 officialVAAGENES, CARL (ADMINISTRATOR)
Same official

Other billing entities under VAAGENES, CARL

Full network →
ProviderLocationPaid
Douglas County HospitalAlexandria, MN$17.60M
Douglas County HospitalAlexandria, MN$348K
Douglas County HospitalAlexandria, MN$77K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.