Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARENGO MEMORIAL HOSPITAL

NPI: 1548681216 · WILLIAMSBURG, IA 52361 · Family Medicine Physician · NPI assigned 12/26/2013

$1.91M
Total Medicaid Paid
16,357
Total Claims
14,171
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOETTSCH, BARRY (CEO)
Parent OrganizationMARENGO MEMORIAL HOSPITAL
NPI Enumeration Date12/26/2013

Related Entities

Other providers sharing the same authorized official: GOETTSCH, BARRY

ProviderCityStateTotal Paid
MARENGO MEMORIAL HOSPITAL MARENGO IA $3.41M
MARENGO MEMORIAL HOSPITAL MARENGO IA $2.08M
MARENGO MEMORIAL HOSPITAL NORTH ENGLISH IA $855K
MARENGO MEMORIAL HOSPITAL VICTOR IA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,067 $213K
2019 2,141 $235K
2020 1,916 $221K
2021 2,346 $281K
2022 2,642 $297K
2023 2,691 $322K
2024 2,554 $339K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,093 7,688 $1.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,651 4,082 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,759 1,592 $935.20
36415 Collection of venous blood by venipuncture 201 191 $0.00
90686 136 128 $0.00
90656 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 256 241 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 152 142 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 27 $0.00
90461 30 30 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00