Behavioral
Stewart Memorial Community Hospital
Stewart Memorial Community Hospital was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSTEWART MEMORIAL COMMUNITY HOSPITAL
GOWRIE, IA 50543
GOWRIE, IA 50543
33aNPI1588690267assigned 06/24/2006
33bProvider typeClinical Social Worker
28Total paid$1.11M
24GClaims16,340
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Iowa
Rank by total paid#5 of 170
Median peer was paid$29K
This provider vs. median39×
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 | 2,266 | $152K | |
| 2019 | 2,645 | $171K | |
| 2020 | 1,942 | $130K | |
| 2021 | 2,460 | $165K | |
| 2022 | 2,620 | $179K | |
| 2023 | 2,402 | $172K | |
| 2024incomplete | 2,005 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 9,403 | 7,254 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,329 | 3,757 | $163.52 |
| 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 | <1% | 2,317 | 2,100 | $66.80 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | 15 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 14 | 14 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | 12 | $0.00 |
| 90686 | 0% | 28 | 27 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 47 | 38 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 101 | 98 | $0.00 |
| 90656 | 0% | 13 | 13 | $0.00 | |
| 90688 | 0% | 40 | 40 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 20 | 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 officialHENKENIUS, JAMES (CFO)
Parent organizationSTEWART MEMORIAL COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Stewart Memorial Community Hospital | Lake City, IA | $4.24M |
| Stewart Memorial Community Hospital | Lake City, IA | $1.25M |
| Stewart Memorial Community Hospital | Rockwell City, IA | $1.22M |
| Stewart Memorial Community Hospital | Lake View, IA | $924K |
| Stewart Memorial Community Hospital | Lake City, IA | $57K |
| Stewart Memorial Community Hospital | Lake City, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.