Physician
Fort Madison Community Hospital
Fort Madison Community Hospital was paid $2.20M by Medicaid between Jan 2018 and Jun 2021, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoFORT MADISON COMMUNITY HOSPITAL
FORT MADISON, IA 52627
FORT MADISON, IA 52627
33aNPI1629024286assigned 05/25/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.20M
24GClaims77,040
24DCodes billed67
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Iowa
Rank by total paid#1 of 42
Median peer was paid$20K
This provider vs. median110×
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 | 19,779 | $542K | |
| 2019 | 25,804 | $749K | |
| 2020 | 20,560 | $595K | |
| 2021 | 10,897 | $309K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 18,836 | 17,117 | $818K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 16,872 | 15,808 | $512K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 3,838 | 3,686 | $175K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 2,406 | 2,058 | $152K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 1,948 | 1,895 | $138K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 6,994 | 6,647 | $82K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 674 | 646 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 553 | 539 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,333 | 1,262 | $27K |
| 59025 | Fetal non-stress test | 1.2% | 959 | 425 | $27K |
| 11721 | <1% | 1,403 | 1,243 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,503 | 1,438 | $15K |
55 more codes
| 90686 | <1% | 2,626 | $13K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,922 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 162 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 444 | $10K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 163 | $9K |
| 87081 | <1% | 1,464 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 102 | $9K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 680 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,522 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 189 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 950 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 59 | $5K |
| 99307 | <1% | 436 | $3K | |
| 76801 | <1% | 32 | $3K | |
| 90461 | <1% | 2,079 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 40 | $2K |
| 81025 | <1% | 300 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 248 | $2K |
| 0012A | <1% | 48 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 35 | $2K |
| 90670 | <1% | 939 | $2K | |
| 81003 | <1% | 665 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 36 | $1K |
| 0011A | <1% | 44 | $1K | |
| 92551 | <1% | 118 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 35 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 35 | $1K |
| 83655 | <1% | 53 | $859.69 | |
| 90716 | <1% | 50 | $717.98 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 228 | $685.59 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 266 | $648.43 |
| 99173 | <1% | 359 | $602.94 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 73 | $545.73 |
| 20610 | <1% | 16 | $491.32 | |
| 80061 | Lipid panel | <1% | 28 | $441.55 |
| 96127 | <1% | 465 | $430.57 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 18 | $289.41 |
| 90707 | <1% | 68 | $279.67 | |
| 80053 | Comprehensive metabolic panel | <1% | 25 | $268.17 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $253.40 |
| 85018 | <1% | 66 | $188.93 | |
| 87340 | <1% | 18 | $180.15 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 27 | $144.90 |
| 90734 | <1% | 16 | $112.93 | |
| 90633 | <1% | 64 | $86.22 | |
| 86592 | <1% | 18 | $77.69 | |
| 90723 | <1% | 463 | $76.37 | |
| 90647 | <1% | 486 | $75.23 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 15 | $66.63 |
| 99000 | <1% | 126 | $58.82 | |
| 87210 | <1% | 13 | $56.65 | |
| 90681 | 0% | 70 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 91301 | 0% | 141 | $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 officialBURCHETT, SHELBY (CEO)
Parent organizationFORT MADISON COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Fort Madison Community Hospital | Fort Madison, IA | $2.16M |
| Fort Madison Community Hospital | Fort Madison, IA | $446K |
| Fort Madison Community Hospital | Fort Madison, IA | $228K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.