Physician
Sioux Center Health
Sioux Center Health was paid $705K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoSIOUX CENTER HEALTH
SIOUX CENTER, IA 51250
SIOUX CENTER, IA 51250
33aNPI1558494138assigned 03/13/2007
33bProvider typeFamily Medicine Physician
28Total paid$705K
24GClaims22,328
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#50 of 275
Median peer was paid$69K
This provider vs. median10×
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 | 2,213 | $55K | |
| 2019 | 2,185 | $59K | |
| 2020 | 3,068 | $84K | |
| 2021 | 4,176 | $125K | |
| 2022 | 4,558 | $152K | |
| 2023 | 4,028 | $146K | |
| 2024incomplete | 2,100 | $83K |
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 | 69% | 14,880 | 13,368 | $485K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.1% | 910 | 519 | $64K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.8% | 927 | 513 | $48K |
| 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 | 6.7% | 1,003 | 928 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 2,797 | 2,601 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 143 | 133 | $10K |
| 90686 | 1.2% | 1,069 | 994 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 97 | 95 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 299 | 279 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | 25 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 16 | $488.73 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 43 | 41 | $425.48 |
5 more codes
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 officialRICHTER, CRYSTAL (CFO)
Parent organizationSIOUX CENTER HEALTH
| Provider | Location | Paid |
|---|---|---|
| Sioux Center Health | Sioux Center, IA | $168K |
| Sioux Center Health | Hawarden, IA | $63K |
| Sioux Center Health | Sioux Center, IA | $57K |
| Sioux Center Health | Sioux Center, IA | $432.30 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.