Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JEFFERSON COUNTY HOSPITAL

NPI: 1457728008 · FAIRFIELD, IA 52556 · Rural Health Clinic/Center · NPI assigned 08/31/2015

$15.51M
Total Medicaid Paid
221,339
Total Claims
187,628
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEICKERT, BRENT (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/31/2015

Related Entities

Other providers sharing the same authorized official: FEICKERT, BRENT

ProviderCityStateTotal Paid
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $3.87M
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $704K
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $81K
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $6K
JEFFERSON COUNTY HOSPITAL FAIRFIELD IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,969 $1.84M
2019 32,146 $2.20M
2020 28,246 $1.93M
2021 33,748 $2.34M
2022 37,648 $2.57M
2023 33,166 $2.49M
2024 27,416 $2.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 96,222 75,540 $15.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,087 22,484 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,700 42,548 $44K
99309 Subsequent nursing facility care, per day, low to moderate complexity 411 329 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 841 814 $6K
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) 139 101 $3K
99308 Subsequent nursing facility care, per day, straightforward 103 87 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 108 81 $3K
81025 661 620 $436.95
90715 321 319 $355.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,323 4,104 $243.23
90651 341 334 $177.85
81003 3,665 3,405 $155.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,806 3,587 $62.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,118 1,073 $54.88
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,949 2,647 $41.47
90734 412 404 $19.68
36415 Collection of venous blood by venipuncture 513 486 $8.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,923 6,736 $5.09
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,025 1,009 $0.00
90670 1,338 1,309 $0.00
99215 Prolong outpt/office vis 1,397 1,284 $0.00
90472 Immunization administration, each additional vaccine (list separately) 3,350 3,220 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,288 2,236 $0.00
90633 706 689 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,907 1,797 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,153 1,133 $0.00
91322 62 60 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 481 473 $0.00
90707 26 26 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,056 1,022 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 661 648 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 285 268 $0.00
99442 93 91 $0.00
90710 153 150 $0.00
90680 556 543 $0.00
90696 138 135 $0.00
90647 961 944 $0.00
90723 1,009 981 $0.00
90686 2,306 2,253 $0.00
90474 500 488 $0.00
90656 168 161 $0.00
99441 68 65 $0.00
90677 202 187 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 133 123 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 382 357 $0.00
90480 68 66 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 30 25 $0.00
99443 13 12 $0.00
96127 45 43 $0.00
90732 15 13 $0.00
99381 25 24 $0.00
90674 55 55 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 27 25 $0.00
90620 14 14 $0.00