DELAWARE COUNTY MEMORIAL HOSPITAL
NPI: 1497824353
· HOPKINTON, IA 52237
· Rural Health Clinic/Center
· NPI assigned 11/07/2006
$352K
Total Medicaid Paid
Provider Details
| Authorized Official | BUTIKOFER, LON (CEO) |
| NPI Enumeration Date | 11/07/2006 |
Related Entities
Other providers sharing the same authorized official: BUTIKOFER, LON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
636 |
$59K |
| 2019 |
637 |
$61K |
| 2020 |
237 |
$25K |
| 2021 |
427 |
$38K |
| 2022 |
909 |
$70K |
| 2023 |
666 |
$60K |
| 2024 |
333 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,324 |
2,077 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
735 |
673 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
773 |
690 |
$405.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |