Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL

NPI: 1598871469 · HARLAN, IA 51537 · Critical Access Hospital · NPI assigned 08/22/2006

$1.51M
Total Medicaid Paid
45,635
Total Claims
39,333
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACOBSEN, BARRY (CEO)
NPI Enumeration Date08/22/2006

Related Entities

Other providers sharing the same authorized official: JACOBSEN, BARRY

ProviderCityStateTotal Paid
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL HARLAN IA $6.23M
SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL HARLAN IA $3.36M
SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL HARLAN IA $2.94M
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL SHELBY IA $489K
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL EARLING IA $396K
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL AVOCA IA $295K
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL ELK HORN IA $66K
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL HARLAN IA $90.87

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,375 $147K
2019 6,353 $160K
2020 5,874 $180K
2021 6,117 $214K
2022 8,394 $331K
2023 7,300 $276K
2024 5,222 $198K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,033 5,924 $460K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,736 6,563 $209K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,539 5,324 $205K
80053 Comprehensive metabolic panel 3,719 3,372 $184K
36415 Collection of venous blood by venipuncture 14,712 12,357 $174K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,493 1,441 $66K
99284 Emergency department visit for the evaluation and management, high severity 381 323 $34K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 952 925 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 245 232 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 204 193 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 220 207 $24K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 506 436 $11K
87086 Culture, bacterial; quantitative colony count, urine 258 214 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 151 125 $7K
95117 1,142 470 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 88 82 $5K
80048 Basic metabolic panel (calcium, ionized) 156 140 $5K
87807 167 153 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 30 28 $3K
84443 Thyroid stimulating hormone (TSH) 55 51 $3K
87480 36 36 $3K
81002 197 166 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 196 179 $2K
87660 36 36 $2K
87510 36 36 $2K
85018 40 40 $1K
71046 Radiologic examination, chest; 2 views 25 24 $994.50
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13 12 $857.70
81003 32 26 $787.34
83655 27 27 $618.29
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 36 30 $446.33
80061 Lipid panel 12 12 $388.76
96375 Therapeutic injection; each additional sequential IV push 14 12 $375.58
86308 13 12 $304.64
J2704 Injection, propofol, 10 mg 16 12 $287.98
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 29 27 $286.72
86850 12 12 $275.86
81001 15 12 $254.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 38 $237.71
86900 12 12 $236.00
86901 12 12 $236.00