Physician
ST Luke's Jones Regional Medical Center
ST Luke's Jones Regional Medical Center was paid $1.00M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoST LUKE'S JONES REGIONAL MEDICAL CENTER
CLARENCE, IA 52216
CLARENCE, IA 52216
33aNPI1598289316assigned 08/02/2017
33bProvider typeFamily Medicine Physician
28Total paid$1.00M
24GClaims19,593
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#40 of 275
Median peer was paid$69K
This provider vs. median14×
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 | 1,476 | $97K | |
| 2019 | 1,997 | $98K | |
| 2020 | 2,129 | $113K | |
| 2021 | 3,238 | $161K | |
| 2022 | 3,554 | $177K | |
| 2023 | 3,979 | $186K | |
| 2024incomplete | 3,220 | $168K |
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 | 99% | 9,619 | 8,120 | $993K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 410 | 408 | $2K |
| 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% | 5,311 | 4,696 | $2K |
| 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% | 1,927 | 1,776 | $836.82 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 91 | 91 | $788.20 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 65 | 65 | $633.12 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 12 | $624.26 |
| 90461 | <1% | 12 | 12 | $210.20 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | 16 | $156.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,141 | 1,092 | $41.53 |
| 90686 | <1% | 342 | 337 | $33.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 270 | 270 | $25.71 |
6 more codes
| 99173 | <1% | 13 | $16.72 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 30 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 25 | $0.00 |
| 99177 | 0% | 16 | $0.00 | |
| 3008F | 0% | 236 | $0.00 | |
| 90656 | 0% | 55 | $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 officialBRIESEMEISTER, ERIC (CEO)
Parent organizationST LUKE'S JONES REGIONAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $2.81M |
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $2.06M |
| ST Luke's Jones Regional Medical Center | Anamosa, IA | $1.54M |
| ST Luke's Jones Regional Medical Center | Vinton, IA | $1.49M |
| ST Luke's Jones Regional Medical Center | Monticello, IA | $1.38M |
| ST Luke's Jones Regional Medical Center | Belle Plaine, IA | $1.27M |
| ST Luke's Jones Regional Medical Center | Tipton, IA | $908K |
| ST Luke's Jones Regional Medical Center | Shellsburg, IA | $349K |
| ST. Luke's Jones Regional Medical Center | Anamosa, IA | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.