Clinic
Community Health Center of Fort Dodge, INC.
Community Health Center of Fort Dodge, INC. was paid $6.42M by Medicaid between Oct 2018 and Dec 2024, across 70 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 42% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER OF FORT DODGE, INC.
MASON CITY, IA 50401
MASON CITY, IA 50401
33aNPI1588160089assigned 04/03/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.42M
24GClaims110,406
24DCodes billed70
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#13 of 36
Median peer was paid$1.10M
This provider vs. median5.9×
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 | 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 | |
| 2024incomplete | 13,400 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 42% | 24,082 | 18,724 | $2.67M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 37% | 13,612 | 10,535 | $2.34M |
| D0999 | Unspecified diagnostic procedure, by report | 21% | 6,947 | 6,061 | $1.37M |
| D0603 | <1% | 1,690 | 1,564 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,961 | 3,218 | $4K |
| D1110 | Prophylaxis - adult | <1% | 4,056 | 3,770 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,797 | 1,385 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 3,199 | 2,880 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,933 | 3,652 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 659 | 479 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,237 | 3,006 | $2K |
| D0330 | Panoramic radiographic image | <1% | 3,778 | 3,370 | $852.26 |
58 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 3,168 | $711.75 |
| D1120 | Dental cleaning, child | <1% | 325 | $659.95 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,021 | $637.84 |
| 0011A | <1% | 46 | $600.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 1,998 | $560.08 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,843 | $386.74 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,982 | $377.29 |
| D0602 | <1% | 107 | $280.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,960 | $242.61 |
| 0012A | <1% | 17 | $240.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,327 | $211.82 |
| D0601 | <1% | 61 | $185.00 | |
| D0270 | <1% | 616 | $117.63 | |
| 87428 | <1% | 386 | $115.01 | |
| D4341 | <1% | 1,468 | $107.74 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 173 | $98.18 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 191 | $85.86 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 134 | $55.71 |
| 90686 | <1% | 26 | $52.50 | |
| 80305 | <1% | 316 | $43.05 | |
| 99201 | <1% | 1,087 | $36.82 | |
| D0272 | Bitewings - two radiographic images | <1% | 31 | $35.10 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,630 | $31.36 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 390 | $24.16 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,552 | $20.46 |
| 86803 | <1% | 28 | $20.28 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 179 | $15.27 |
| 86703 | <1% | 75 | $13.57 | |
| 81003 | <1% | 36 | $3.18 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 515 | $2.94 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 768 | $2.04 |
| D4910 | <1% | 298 | $1.85 | |
| D2332 | <1% | 45 | $0.27 | |
| D2331 | <1% | 52 | $0.25 | |
| D2330 | <1% | 30 | $0.17 | |
| D2335 | <1% | 25 | $0.11 | |
| D0170 | <1% | 20 | $0.09 | |
| D2740 | Crown - porcelain/ceramic | <1% | 40 | $0.08 |
| D2950 | <1% | 23 | $0.06 | |
| D2394 | <1% | 12 | $0.06 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | $0.05 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 216 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 167 | $0.00 |
| 91301 | 0% | 70 | $0.00 | |
| 99383 | 0% | 22 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 22 | $0.00 |
| 90651 | 0% | 22 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 90734 | 0% | 16 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 15 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 1,225 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 36 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 376 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 54 | $0.00 |
| 80061 | Lipid panel | 0% | 99 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 39 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 33 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 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 officialKRUCKENBERG, RENAE (CEO)
Parent organizationCOMMUNITY HEALTH CENTER OF FORT DODGE INC
| Provider | Location | Paid |
|---|---|---|
| Community Health Center of Fort Dodge INC. | Fort Dodge, IA | $23.58M |
| Community Health Center of Fort Dodge, INC. | Eagle Grove, IA | $304K |
| Community Health Center of Fort Dodge, INC. | Dayton, IA | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.