Clinic
Pella Regional Health Center
Pella Regional Health Center was paid $5.31M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPELLA REGIONAL HEALTH CENTER
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1508101221assigned 12/06/2012
33bProvider typeRural Health Clinic/Center
28Total paid$5.31M
24GClaims47,241
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#16 of 182
Median peer was paid$561K
This provider vs. median9.5×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,476 | $510K | |
| 2019 | 6,543 | $734K | |
| 2020 | 5,421 | $627K | |
| 2021 | 4,871 | $658K | |
| 2022 | 7,211 | $768K | |
| 2023 | 12,847 | $1.25M | |
| 2024incomplete | 5,872 | $762K |
Box 24 · Service lines
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 | 99% | 28,438 | 23,957 | $5.24M |
| 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% | 10,552 | 8,818 | $29K |
| 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% | 3,163 | 2,573 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 231 | 219 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,224 | 2,020 | $4K |
| 90686 | <1% | 695 | 648 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 127 | 94 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 294 | 226 | $144.80 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 198 | 187 | $129.62 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | 37 | $86.62 |
| 87428 | <1% | 610 | 545 | $44.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | 49 | $42.56 |
10 more codes
| 90656 | <1% | 16 | $21.51 | |
| 81003 | <1% | 105 | $5.88 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 88 | $0.19 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 22 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 264 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 17 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 17 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| 90648 | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 52 | $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.
From NPPES
Who's on the registration
Authorized officialKROESE, ROBERT (CEO)
Parent organizationPELLA REGIONAL HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Pella Regional Health Center | Pella, IA | $3.07M |
| Pella Regional Health Center | Pella, IA | $1.92M |
| Pella Regional Health Center | Prairie City, IA | $259K |
| Pella Regional Health Center | Sully, IA | $70K |
| Pella Regional Health Center | Pella, IA | $52K |
| Pella Regional Health Center | Ottumwa, IA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.