Clinic
Pawnee Valley Community Hospital INC
Pawnee Valley Community Hospital INC was paid $808K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoPAWNEE VALLEY COMMUNITY HOSPITAL INC
LARNED, KS 67550
LARNED, KS 67550
33aNPI1518394147assigned 09/27/2013
33bProvider typeRural Health Clinic/Center
28Total paid$808K
24GClaims7,756
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kansas
Rank by total paid#41 of 147
Median peer was paid$374K
This provider vs. median2.2×
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 | 1,640 | $83K | |
| 2019 | 1,714 | $87K | |
| 2020 | 773 | $42K | |
| 2021 | 977 | $57K | |
| 2022 | 1,128 | $78K | |
| 2023 | 886 | $268K | |
| 2024incomplete | 638 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 4,665 | 4,032 | $522K |
| 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 | 26% | 2,289 | 2,081 | $214K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 551 | 516 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 72 | 72 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 39 | 39 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | 17 | $766.32 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $751.93 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | 38 | $628.48 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 34 | 33 | $0.00 |
| 90461 | 0% | 15 | 14 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 14 | 12 | $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 officialHERRMAN, EDWARD (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Hays Medical Center, INC. | Hays, KS | $1.11M |
| Hays Medical Center INC | Hays, KS | $597K |
| ST Rose Health Center INC | Great Bend, KS | $96K |
| Pawnee Valley Community Hospital, INC. | Larned, KS | $43K |
| Pawnee Valley Community Hospital INC | Larned, KS | $4K |
| Pawnee Valley Community Hospital, INC. | Larned, KS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.