COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
NPI: 1588160089
· MASON CITY, IA 50401
· 261QF0400X
$6.42M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,724 |
$92K |
| 2019 |
21,169 |
$1.15M |
| 2020 |
23,388 |
$1.20M |
| 2021 |
22,747 |
$1.20M |
| 2022 |
13,437 |
$772K |
| 2023 |
14,541 |
$997K |
| 2024 |
13,400 |
$1.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
|
24,082 |
18,724 |
$2.67M |
| T1015 |
Clinic service |
13,612 |
10,535 |
$2.34M |
| D0999 |
|
6,947 |
6,061 |
$1.37M |
| D0603 |
|
1,690 |
1,564 |
$4K |
| D0210 |
|
4,961 |
3,218 |
$4K |
| D1110 |
|
4,056 |
3,770 |
$3K |
| D2392 |
|
1,797 |
1,385 |
$2K |
| D1206 |
|
3,199 |
2,880 |
$2K |
| D0120 |
|
3,933 |
3,652 |
$2K |
| D2391 |
|
659 |
479 |
$2K |
| D0150 |
|
3,237 |
3,006 |
$2K |
| D0330 |
|
3,778 |
3,370 |
$852.26 |
| D0140 |
|
3,168 |
2,825 |
$711.75 |
| D1120 |
|
325 |
281 |
$659.95 |
| 99213 |
|
4,021 |
3,251 |
$637.84 |
| 0011A |
|
46 |
40 |
$600.00 |
| D0274 |
|
1,998 |
1,925 |
$560.08 |
| D0220 |
|
3,843 |
3,453 |
$386.74 |
| 87426 |
|
3,982 |
3,211 |
$377.29 |
| D0602 |
|
107 |
97 |
$280.00 |
| G2023 |
Specimen collect covid-19 |
3,960 |
3,193 |
$242.61 |
| 0012A |
|
17 |
14 |
$240.00 |
| 99214 |
|
2,327 |
1,982 |
$211.82 |
| D0601 |
|
61 |
53 |
$185.00 |
| D0270 |
|
616 |
588 |
$117.63 |
| 87428 |
|
386 |
336 |
$115.01 |
| D4341 |
|
1,468 |
696 |
$107.74 |
| 99203 |
|
173 |
161 |
$98.18 |
| 90792 |
|
191 |
179 |
$85.86 |
| 90834 |
|
134 |
74 |
$55.71 |
| 90686 |
|
26 |
26 |
$52.50 |
| 80305 |
|
316 |
293 |
$43.05 |
| 99201 |
|
1,087 |
822 |
$36.82 |
| D0272 |
|
31 |
30 |
$35.10 |
| 99212 |
|
1,630 |
1,334 |
$31.36 |
| 87880 |
|
390 |
344 |
$24.16 |
| D7140 |
|
3,552 |
1,769 |
$20.46 |
| 86803 |
|
28 |
28 |
$20.28 |
| 90471 |
|
179 |
166 |
$15.27 |
| 86703 |
|
75 |
72 |
$13.57 |
| 81003 |
|
36 |
33 |
$3.18 |
| D2393 |
|
515 |
427 |
$2.94 |
| D0230 |
|
768 |
351 |
$2.04 |
| D4910 |
|
298 |
294 |
$1.85 |
| D2332 |
|
45 |
36 |
$0.27 |
| D2331 |
|
52 |
40 |
$0.25 |
| D2330 |
|
30 |
25 |
$0.17 |
| D2335 |
|
25 |
19 |
$0.11 |
| D0170 |
|
20 |
12 |
$0.09 |
| D2740 |
|
40 |
24 |
$0.08 |
| D2950 |
|
23 |
12 |
$0.06 |
| D2394 |
|
12 |
12 |
$0.06 |
| D7210 |
|
17 |
12 |
$0.05 |
| 99202 |
|
216 |
198 |
$0.00 |
| 83036 |
|
167 |
140 |
$0.00 |
| 91301 |
|
70 |
61 |
$0.00 |
| 99383 |
|
22 |
19 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
22 |
17 |
$0.00 |
| 90651 |
|
22 |
17 |
$0.00 |
| 99394 |
|
13 |
12 |
$0.00 |
| 90734 |
|
16 |
13 |
$0.00 |
| 99396 |
|
15 |
15 |
$0.00 |
| 87804 |
|
1,225 |
1,130 |
$0.00 |
| 90472 |
|
36 |
29 |
$0.00 |
| 90832 |
|
376 |
294 |
$0.00 |
| 99393 |
|
54 |
54 |
$0.00 |
| 80061 |
|
99 |
91 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
39 |
37 |
$0.00 |
| 90791 |
|
33 |
30 |
$0.00 |
| 99204 |
|
12 |
12 |
$0.00 |