Clinic
Burgess Health Center
Burgess Health Center was paid $1.18M by Medicaid between Jan 2018 and Oct 2024, across 15 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 infoBURGESS HEALTH CENTER
MAPLETON, IA 51034
MAPLETON, IA 51034
33aNPI1588991962assigned 11/05/2009
33bProvider typeRural Health Clinic/Center
28Total paid$1.18M
24GClaims14,544
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#64 of 182
Median peer was paid$561K
This provider vs. median2.1×
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 | 3,132 | $206K | |
| 2019 | 2,553 | $199K | |
| 2020 | 2,227 | $179K | |
| 2021 | 2,275 | $198K | |
| 2022 | 2,078 | $181K | |
| 2023 | 1,520 | $142K | |
| 2024incomplete | 759 | $76K |
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% | 7,883 | 6,248 | $1.18M |
| 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% | 4,948 | 4,040 | $409.28 |
| 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% | 363 | 294 | $140.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 331 | 289 | $6.66 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 34 | 33 | $0.00 |
| 90686 | 0% | 246 | 237 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | 13 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 343 | 328 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 140 | 138 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 16 | 16 | $0.00 |
| 90461 | 0% | 89 | 61 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 41 | 38 | $0.00 |
3 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 43 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 0% | 40 | $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 officialWOLD, LYNN (CEO)
Parent organizationBURGESS HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Burgess Health Center | Onawa, IA | $2.91M |
| Burgess Health Center | Sloan, IA | $381K |
| Burgess Health Center | Whiting, IA | $324K |
| Burgess Health Center | Onawa, IA | $214K |
| Burgess Health Center | Onawa, IA | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.