Clinic
Orange City Municipal Hospital
Orange City Municipal Hospital was paid $377K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoORANGE CITY MUNICIPAL HOSPITAL
PAULLINA, IA 51046
PAULLINA, IA 51046
33aNPI1518932821assigned 02/21/2006
33bProvider typeRural Health Clinic/Center
28Total paid$377K
24GClaims4,171
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#110 of 182
Median peer was paid$561K
This provider vs. median0.7×
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 | 913 | $72K | |
| 2019 | 945 | $72K | |
| 2020 | 467 | $45K | |
| 2021 | 385 | $42K | |
| 2022 | 329 | $37K | |
| 2023 | 320 | $34K | |
| 2024incomplete | 812 | $75K |
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 | 100% | 2,882 | 2,534 | $376K |
| 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% | 1,193 | 1,052 | $898.18 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 16 | 14 | $0.00 |
| 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 | 0% | 66 | 57 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | 14 | $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 officialGUTHMILLER, MARTIN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Orange City Municipal Hospital | Orange City, IA | $878K |
| Orange City Municipal Hospital | Orange City, IA | $355K |
| Orange City Municipal Hospital | Orange City, IA | $30K |
| Orange City Municipal Hospital | Orange City, IA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.