MADISON COUNTY MEMORIAL HOSPITAL
NPI: 1497810097
· EARLHAM, IA 50072
· Rural Health Clinic/Center
· NPI assigned 12/26/2006
$318K
Total Medicaid Paid
Provider Details
| Authorized Official | HENDRICKS, MARCIA (CEO) |
| Parent Organization | MADISON COUNTY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 12/26/2006 |
Related Entities
Other providers sharing the same authorized official: HENDRICKS, MARCIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
570 |
$54K |
| 2019 |
637 |
$64K |
| 2020 |
532 |
$57K |
| 2021 |
400 |
$48K |
| 2022 |
410 |
$42K |
| 2023 |
530 |
$40K |
| 2024 |
161 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,340 |
1,913 |
$318K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
717 |
627 |
$865.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
117 |
$0.00 |
| 90686 |
|
15 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
39 |
$0.00 |