Trinity Regional Medical Center
Trinity Regional Medical Center was paid $5.71M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
FORT DODGE, IA 50501
Next to other Rural Health Clinic/Center providers in Iowa
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,979 | $998K | |
| 2019 | 23,296 | $860K | |
| 2020 | 19,507 | $727K | |
| 2021 | 20,100 | $758K | |
| 2022 | 18,410 | $816K | |
| 2023 | 20,583 | $772K | |
| 2024incomplete | 21,308 | $784K |
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 | 95% | 48,542 | 39,620 | $5.44M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 10,526 | 10,424 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 7,176 | 6,232 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,025 | 5,981 | $53K |
| 90461 | <1% | 6,871 | 6,795 | $31K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,672 | 3,649 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,736 | 1,726 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,514 | 1,498 | $10K |
| 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% | 21,314 | 18,582 | $2K |
| 99381 | <1% | 164 | 163 | $1K | |
| 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% | 7,485 | 6,926 | $231.74 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | 71 | $158.92 |
37 more codes
| 90716 | <1% | 1,308 | $107.67 | |
| 99188 | <1% | 12 | $85.11 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $29.86 |
| 90700 | 0% | 755 | $0.00 | |
| 90633 | 0% | 2,129 | $0.00 | |
| 90710 | 0% | 278 | $0.00 | |
| 90734 | 0% | 469 | $0.00 | |
| 99177 | 0% | 2,059 | $0.00 | |
| 90670 | 0% | 3,616 | $0.00 | |
| 90707 | 0% | 1,296 | $0.00 | |
| 90715 | 0% | 137 | $0.00 | |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 0% | 29 | $0.00 |
| 91321 | 0% | 76 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 53 | $0.00 |
| 90687 | 0% | 32 | $0.00 | |
| 90380 | 0% | 16 | $0.00 | |
| 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) | 0% | 12 | $0.00 |
| 90680 | 0% | 2,788 | $0.00 | |
| 3008F | 0% | 2,331 | $0.00 | |
| 90686 | 0% | 2,901 | $0.00 | |
| 90647 | 0% | 2,787 | $0.00 | |
| 90697 | 0% | 724 | $0.00 | |
| 90651 | 0% | 491 | $0.00 | |
| 90696 | 0% | 391 | $0.00 | |
| 90723 | 0% | 2,609 | $0.00 | |
| 96127 | 0% | 230 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 131 | $0.00 |
| 90677 | 0% | 728 | $0.00 | |
| 90480 | 0% | 134 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 49 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 98 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 32 | $0.00 |
| 90688 | 0% | 67 | $0.00 | |
| 90656 | 0% | 204 | $0.00 | |
| 90620 | 0% | 43 | $0.00 | |
| 90474 | 0% | 18 | $0.00 | |
| 96380 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Trinity Regional Medical Center | Fort Dodge, IA | $12.36M |
| Trinity Regional Medical Center | Fort Dodge, IA | $6.43M |
| Trinity Regional Medical Center | Storm Lake, IA | $5.68M |
| Trinity Regional Medical Center | Fort Dodge, IA | $4.60M |
| Trinity Regional Medical Center | Humboldt, IA | $2.59M |
| Trinity Regional Medical Center | Fort Dodge, IA | $2.50M |
| Trinity Regional Medical Center | Eagle Grove, IA | $2.22M |
| Trinity Regional Medical Center | Storm Lake, IA | $2.03M |
| Trinity Regional Medical Center | Fort Dodge, IA | $2.02M |
| Trinity Regional Medical Center | Pocahontas, IA | $1.80M |
| Trinity Regional Medical Center | Sac City, IA | $1.62M |
| Trinity Regional Medical Center | Laurens, IA | $779K |
| Trinity Regional Medical Center | Manson, IA | $529K |
| Trinity Regional Medical Center | Lake View, IA | $320K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.