PELLA REGIONAL HEALTH CENTER
NPI: 1497413637
· PRAIRIE CITY, IA 50228
· Rural Health Clinic/Center
· NPI assigned 12/06/2021
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | KROESE, ROBERT (CEO) |
| NPI Enumeration Date | 12/06/2021 |
Related Entities
Other providers sharing the same authorized official: KROESE, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
660 |
$14K |
| 2023 |
4,342 |
$156K |
| 2024 |
1,430 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,828 |
2,536 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,162 |
750 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,279 |
769 |
$781.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
92 |
$198.98 |
| 90686 |
|
34 |
31 |
$26.01 |
| 90656 |
|
13 |
13 |
$12.91 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
12 |
$0.00 |