Hospital
Lakes Regional Healthcare
Lakes Regional Healthcare was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
33Billing provider infoLAKES REGIONAL HEALTHCARE
SPIRIT LAKE, IA 51360
SPIRIT LAKE, IA 51360
33aNPI1508862012assigned 06/21/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.03M
24GClaims27,124
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Iowa
Rank by total paid#24 of 29
Median peer was paid$6.37M
This provider vs. median0.2×
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 | 3,161 | $105K | |
| 2019 | 3,304 | $106K | |
| 2020 | 2,510 | $80K | |
| 2021 | 4,012 | $147K | |
| 2022 | 5,270 | $195K | |
| 2023 | 5,405 | $182K | |
| 2024incomplete | 3,462 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 2,729 | 2,520 | $378K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 31% | 3,828 | 3,634 | $323K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 14% | 3,624 | 2,753 | $140K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.6% | 374 | 345 | $89K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.4% | 135 | 121 | $45K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.8% | 141 | 132 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,919 | 3,477 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 238 | 226 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,597 | 4,151 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 3,183 | 2,919 | $3K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 311 | 276 | $2K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 37 | 31 | $2K |
22 more codes
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 27 | $1K |
| 87631 | <1% | 14 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 28 | $1K |
| 87634 | <1% | 15 | $954.72 | |
| 71045 | Radiologic examination, chest; single view | <1% | 21 | $941.80 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 57 | $467.19 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $431.37 |
| 80061 | Lipid panel | <1% | 14 | $259.44 |
| J3490 | Unclassified drugs | <1% | 466 | $145.99 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 110 | $58.01 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 31 | $52.13 |
| 81001 | <1% | 1,466 | $40.99 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 77 | $1.18 |
| A9270 | Non-covered item or service | 0% | 1,456 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 16 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 13 | $0.00 |
| 82077 | 0% | 22 | $0.00 | |
| 80306 | 0% | 14 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 57 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 28 | $0.00 |
| 81025 | 0% | 15 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 32 | $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 officialALGER, STEVE (SR VP AND CFO)
| Provider | Location | Paid |
|---|---|---|
| Lakes Regional Healthcare | Spirit Lake, IA | $1.35M |
| Lakes Regional Healthcare | Spirit Lake, IA | $368K |
| Lakes Regional Healthcare | Spirit Lake, IA | $190K |
| Lakes Regional Healthcare | Spirit Lake, IA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.