Hospital
Iowa Specialty Hospital- Clarion
Iowa Specialty Hospital- Clarion was paid $801K by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoIOWA SPECIALTY HOSPITAL- CLARION
CLARION, IA 50525
CLARION, IA 50525
33aNPI1578588331assigned 07/13/2006
33bProvider typeCritical Access Hospital
28Total paid$801K
24GClaims26,511
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#40 of 79
Median peer was paid$801K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 2,752 | $71K | |
| 2019 | 4,631 | $134K | |
| 2020 | 3,042 | $90K | |
| 2021 | 3,213 | $104K | |
| 2022 | 4,127 | $132K | |
| 2023 | 4,676 | $140K | |
| 2024incomplete | 4,070 | $129K |
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 | 24% | 6,167 | 5,441 | $193K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 2,896 | 2,725 | $150K |
| 59025 | Fetal non-stress test | 11% | 4,058 | 2,626 | $88K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.2% | 2,410 | 2,019 | $58K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.9% | 1,268 | 637 | $39K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.4% | 478 | 432 | $35K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 407 | 247 | $33K |
| 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 | 2.4% | 593 | 525 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 835 | 719 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 287 | 266 | $17K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.5% | 176 | 165 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.4% | 416 | 298 | $11K |
48 more codes
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 429 | $11K |
| 90837 | Psychotherapy session, about an hour | 1.2% | 237 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.2% | 253 | $9K |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 960 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 144 | $8K |
| 95806 | <1% | 79 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 781 | $6K |
| 96127 | <1% | 376 | $6K | |
| 20610 | <1% | 105 | $5K | |
| 99460 | <1% | 79 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 150 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 69 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 104 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 104 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 79 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 91 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 40 | $3K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 13 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 293 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 103 | $2K |
| 76801 | <1% | 43 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 770 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 150 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 144 | $1K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 30 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $822.08 |
| 80305 | <1% | 76 | $773.69 | |
| 87210 | <1% | 135 | $581.23 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 101 | $573.19 |
| 90686 | <1% | 110 | $500.86 | |
| 99462 | <1% | 14 | $480.61 | |
| 80055 | <1% | 16 | $437.87 | |
| 81025 | <1% | 57 | $404.96 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 43 | $284.09 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 18 | $249.36 |
| 90656 | <1% | 83 | $242.31 | |
| 73610 | <1% | 19 | $214.92 | |
| 86787 | <1% | 16 | $184.14 | |
| 94060 | <1% | 12 | $179.80 | |
| 73630 | <1% | 17 | $162.73 | |
| 72100 | <1% | 12 | $144.87 | |
| 99152 | <1% | 13 | $50.63 | |
| 81003 | <1% | 30 | $43.95 | |
| 90648 | 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 officialSIMONIN, STEVE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Iowa Specialty Hospital- Clarion | Clarion, IA | $6.84M |
| Iowa Specialty Hospital - Clarion | Fort Dodge, IA | $1.90M |
| Iowa Specialty Hospital- Clarion | Clarion, IA | $1.38M |
| Iowa Specialty Hospital- Clarion | Clarion, IA | $44.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.