Clinic
Siouxland Community Health Center
Siouxland Community Health Center was paid $87.63M by Medicaid between Jan 2018 and Dec 2024, across 232 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoSIOUXLAND COMMUNITY HEALTH CENTER
SIOUX CITY, IA 51105
SIOUX CITY, IA 51105
33aNPI1558355305assigned 09/08/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$87.63M
24GClaims1,457,870
24DCodes billed232
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#1 of 36
Median peer was paid$1.10M
This provider vs. median80×
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 | 169,513 | $10.00M | |
| 2019 | 176,393 | $11.16M | |
| 2020 | 169,305 | $10.89M | |
| 2021 | 212,717 | $14.34M | |
| 2022 | 216,279 | $14.44M | |
| 2023 | 251,804 | $13.86M | |
| 2024incomplete | 261,859 | $12.95M |
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 | 69% | 283,643 | 232,367 | $60.33M |
| D9999 | Unspecified adjunctive procedure, by report | 14% | 57,931 | 52,607 | $12.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 186,557 | 154,342 | $4.94M |
| D0999 | Unspecified diagnostic procedure, by report | 5.2% | 18,135 | 16,948 | $4.59M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.8% | 39,155 | 38,071 | $1.59M |
| 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 | 1.4% | 64,289 | 58,854 | $1.25M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 20,100 | 17,133 | $606K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,375 | 4,957 | $242K |
| D1206 | Topical application of fluoride varnish | <1% | 44,375 | 41,456 | $154K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 30,991 | 30,428 | $129K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 24,252 | 23,774 | $128K |
| 87428 | <1% | 12,780 | 12,156 | $125K |
220 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 8,819 | $86K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25,352 | $84K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,378 | $75K |
| D1110 | Prophylaxis - adult | <1% | 14,210 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 9,265 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,211 | $54K |
| D1351 | Sealant - per tooth | <1% | 26,618 | $51K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,162 | $32K |
| 36415 | Collection of venous blood by venipuncture | <1% | 50,289 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 9,135 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,469 | $28K |
| D0274 | Bitewings - four radiographic images | <1% | 10,418 | $28K |
| D0272 | Bitewings - two radiographic images | <1% | 11,926 | $25K |
| 87430 | <1% | 6,457 | $25K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 10,587 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,834 | $22K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 436 | $22K |
| D0330 | Panoramic radiographic image | <1% | 8,509 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,754 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 249 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,914 | $20K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,471 | $18K |
| D1999 | <1% | 73 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,538 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,846 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,224 | $13K |
| 2010F | <1% | 11,881 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14,897 | $11K |
| 80053 | Comprehensive metabolic panel | <1% | 14,845 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 18,220 | $9K |
| 81003 | <1% | 15,630 | $9K | |
| 80061 | Lipid panel | <1% | 11,696 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 4,356 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,927 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,652 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 683 | $6K |
| 3078F | <1% | 9,184 | $6K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 7,803 | $5K |
| 3074F | <1% | 8,059 | $5K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,473 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,697 | $5K |
| 96127 | <1% | 2,781 | $5K | |
| 80050 | General health panel | <1% | 2,850 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,001 | $5K |
| 87276 | <1% | 1,792 | $5K | |
| 94760 | <1% | 1,612 | $4K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 533 | $4K |
| 90686 | <1% | 5,487 | $4K | |
| 59430 | <1% | 232 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,547 | $4K |
| 2000F | <1% | 10,195 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,059 | $4K |
| 87275 | <1% | 1,811 | $4K | |
| 3044F | <1% | 1,111 | $3K | |
| D0603 | <1% | 7,834 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 5,676 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 5,501 | $3K |
| 3075F | <1% | 2,021 | $3K | |
| 3079F | <1% | 1,909 | $3K | |
| 1036F | <1% | 7,388 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 206 | $2K |
| D0240 | <1% | 2,116 | $2K | |
| 81025 | <1% | 4,914 | $2K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 72 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 721 | $2K |
| 3077F | <1% | 1,492 | $2K | |
| 85018 | <1% | 11,076 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 636 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 241 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 3,718 | $2K |
| 90661 | <1% | 791 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,358 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 96 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,111 | $1K |
| 87210 | <1% | 4,062 | $1K | |
| 3008F | <1% | 20,664 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 773 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,611 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 17,531 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 4,080 | $1K |
| 90677 | <1% | 1,239 | $1K | |
| 99381 | <1% | 330 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 409 | $1K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 77 | $940.40 |
| 2001F | <1% | 11,533 | $923.41 | |
| 99000 | <1% | 2,590 | $904.80 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,731 | $826.03 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 409 | $772.92 |
| D0602 | <1% | 3,907 | $705.00 | |
| W0037 | <1% | 234 | $702.00 | |
| 3051F | <1% | 148 | $700.00 | |
| 1159F | <1% | 11,008 | $671.54 | |
| 99462 | <1% | 306 | $665.46 | |
| 36416 | <1% | 5,814 | $648.49 | |
| 3048F | <1% | 327 | $641.96 | |
| 83655 | <1% | 2,071 | $641.16 | |
| 85027 | <1% | 2,433 | $625.84 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 49 | $616.16 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,416 | $607.92 |
| 99460 | <1% | 552 | $441.76 | |
| 90715 | <1% | 1,591 | $370.67 | |
| 86803 | <1% | 2,290 | $356.75 | |
| 86592 | <1% | 2,661 | $347.55 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 238 | $329.43 |
| 84439 | <1% | 988 | $314.82 | |
| 90480 | <1% | 351 | $310.12 | |
| 81002 | <1% | 2,058 | $301.52 | |
| 3052F | <1% | 75 | $300.00 | |
| 90474 | <1% | 179 | $274.40 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 193 | $263.61 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 851 | $258.79 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 221 | $252.65 |
| 59025 | Fetal non-stress test | <1% | 1,733 | $241.56 |
| 1125F | <1% | 531 | $223.12 | |
| 3050F | <1% | 113 | $220.00 | |
| 99318 | <1% | 44 | $215.60 | |
| 90461 | <1% | 5,020 | $196.80 | |
| 3049F | <1% | 151 | $160.00 | |
| 92551 | <1% | 12 | $158.02 | |
| 90647 | <1% | 780 | $152.88 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 102 | $149.61 |
| 99386 | <1% | 12 | $149.61 | |
| 87280 | <1% | 401 | $147.62 | |
| 81001 | <1% | 163 | $130.36 | |
| 82570 | <1% | 1,730 | $128.43 | |
| 82947 | <1% | 441 | $128.43 | |
| 82043 | <1% | 1,569 | $128.43 | |
| 87807 | <1% | 108 | $124.75 | |
| D0270 | <1% | 202 | $119.03 | |
| 99173 | <1% | 85 | $99.56 | |
| 82950 | <1% | 750 | $66.50 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 171 | $66.48 |
| 73562 | <1% | 143 | $47.91 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 596 | $44.70 |
| 90723 | <1% | 1,028 | $32.76 | |
| 90680 | <1% | 625 | $32.76 | |
| 82607 | <1% | 750 | $21.40 | |
| 72100 | <1% | 37 | $18.54 | |
| 74019 | <1% | 51 | $14.71 | |
| 1160F | <1% | 10,853 | $3.29 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 28 | $0.31 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 34 | $0.18 |
| 1126F | <1% | 636 | $0.08 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 134 | $0.07 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,508 | $0.00 |
| 90473 | 0% | 374 | $0.00 | |
| 90633 | 0% | 474 | $0.00 | |
| 85610 | 0% | 351 | $0.00 | |
| 0004A | 0% | 62 | $0.00 | |
| 90710 | 0% | 115 | $0.00 | |
| 3046F | 0% | 289 | $0.00 | |
| 4040F | 0% | 1,451 | $0.00 | |
| 86318 | 0% | 135 | $0.00 | |
| 85014 | 0% | 330 | $0.00 | |
| 4274F | 0% | 2,837 | $0.00 | |
| 90746 | 0% | 31 | $0.00 | |
| 86900 | 0% | 18 | $0.00 | |
| 87400 | 0% | 66 | $0.00 | |
| D1354 | 0% | 33 | $0.00 | |
| 0124A | 0% | 165 | $0.00 | |
| 90750 | 0% | 125 | $0.00 | |
| 91320 | 0% | 312 | $0.00 | |
| 90734 | 0% | 99 | $0.00 | |
| 4004F | 0% | 1,273 | $0.00 | |
| D2140 | 0% | 62 | $0.00 | |
| 90700 | 0% | 217 | $0.00 | |
| 90707 | 0% | 258 | $0.00 | |
| 0054A | 0% | 13 | $0.00 | |
| 83540 | 0% | 25 | $0.00 | |
| 73630 | 0% | 12 | $0.00 | |
| 82565 | 0% | 66 | $0.00 | |
| 80074 | 0% | 28 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 22,817 | $0.00 |
| 99439 | 0% | 3,439 | $0.00 | |
| G2065 | Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities | 0% | 1,013 | $0.00 |
| 90716 | 0% | 273 | $0.00 | |
| 4010F | 0% | 1,513 | $0.00 | |
| 99426 | 0% | 420 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 5,762 | $0.00 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 648 | $0.00 |
| 81000 | 0% | 759 | $0.00 | |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 2,418 | $0.00 |
| 82951 | 0% | 155 | $0.00 | |
| 90651 | 0% | 182 | $0.00 | |
| 82728 | 0% | 104 | $0.00 | |
| 4037F | 0% | 891 | $0.00 | |
| 90688 | 0% | 110 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 309 | $0.00 |
| 99385 | 0% | 33 | $0.00 | |
| 3080F | 0% | 692 | $0.00 | |
| 3352F | 0% | 205 | $0.00 | |
| 0031A | 0% | 57 | $0.00 | |
| 0134A | 0% | 24 | $0.00 | |
| 86762 | 0% | 18 | $0.00 | |
| 3353F | 0% | 71 | $0.00 | |
| D0601 | 0% | 286 | $0.00 | |
| 1034F | 0% | 2,317 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 52 | $0.00 |
| 99384 | 0% | 29 | $0.00 | |
| 0011A | 0% | 96 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 53 | $0.00 |
| 87340 | 0% | 114 | $0.00 | |
| 3351F | 0% | 1,772 | $0.00 | |
| D1353 | 0% | 314 | $0.00 | |
| 0001A | 0% | 61 | $0.00 | |
| 3061F | 0% | 13 | $0.00 | |
| 92229 | 0% | 18 | $0.00 | |
| 90732 | 0% | 13 | $0.00 | |
| 82040 | 0% | 15 | $0.00 | |
| 99383 | 0% | 75 | $0.00 | |
| 90620 | 0% | 58 | $0.00 | |
| 90696 | 0% | 119 | $0.00 | |
| 93000 | 0% | 34 | $0.00 | |
| 90381 | 0% | 27 | $0.00 | |
| 86850 | 0% | 18 | $0.00 | |
| 99406 | 0% | 31 | $0.00 | |
| 86901 | 0% | 18 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 20 | $0.00 |
| 0051A | 0% | 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 officialPETERSON, CLARA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Amistad Community Health Center Incorporated | Corpus Christi, TX | $10.40M |
| Siouxland Community Health Center | South Sioux City, NE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.