Medicaid Provider Spending

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

SIOUX CENTER HEALTH

NPI: 1558494138 · SIOUX CENTER, IA 51250 · Family Medicine Physician · NPI assigned 03/13/2007

$705K
Total Medicaid Paid
22,328
Total Claims
19,622
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRICHTER, CRYSTAL (CFO)
Parent OrganizationSIOUX CENTER HEALTH
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: RICHTER, CRYSTAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,100 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,880 13,368 $485K
90837 Psychotherapy, 53 minutes with patient 910 519 $64K
90834 Psychotherapy, 45 minutes with patient 927 513 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,003 928 $47K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,797 2,601 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 143 133 $10K
90686 1,069 994 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 97 95 $8K
90472 Immunization administration, each additional vaccine (list separately) 299 279 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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) 43 41 $425.48
90656 59 58 $416.44
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $334.56
90651 13 12 $318.15
90670 19 16 $0.00
90647 14 12 $0.00