Spencer Municipal Hospital
Spencer Municipal Hospital was paid $63K by Medicaid between Jan 2020 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoSPENCER MUNICIPAL HOSPITAL
SPENCER, IA 51301
SPENCER, IA 51301
33aNPI1578108478assigned 11/14/2019
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$63K
24GClaims2,042
24DCodes billed7
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Iowa
Rank by total paid#10 of 32
Median peer was paid$31K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 200 | $6K | |
| 2021 | 475 | $15K | |
| 2022 | 475 | $13K | |
| 2023 | 540 | $17K | |
| 2024incomplete | 352 | $12K |
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 | 64% | 1,300 | 1,150 | $41K |
| 20610 | 18% | 224 | 196 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 143 | 131 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4.4% | 262 | 234 | $3K |
| 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 | 4.2% | 53 | 48 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 48 | 42 | $2K |
| 73630 | <1% | 12 | 12 | $315.60 |
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 officialTIEFENTHALER, BRENDA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Spencer Municipal Hospital | Spencer, IA | $3.20M |
| Spencer Municipal Hospital | Spencer, IA | $3.07M |
| Spencer Municipal Hospital | Spencer, IA | $335K |
| Spencer Municipal Hospital | Spencer, IA | $210K |
| Spencer Municipal Hospital | Milford, IA | $23K |
| Spencer Municipal Hospital | Sioux Rapids, IA | $10K |
| Spencer Municipal Hospital | Spencer, IA | $5K |
| Spencer Municipal Hospital | Spirit Lake, IA | $3K |
| Spencer Municipal Hospital | Hartley, IA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.