FORT MADISON COMMUNITY HOSPITAL
NPI: 1629024286
· FORT MADISON, IA 52627
· Obstetrics & Gynecology Physician
· NPI assigned 05/25/2006
$2.20M
Total Medicaid Paid
Provider Details
| Authorized Official | BURCHETT, SHELBY (CEO) |
| Parent Organization | FORT MADISON COMMUNITY HOSPITAL |
| NPI Enumeration Date | 05/25/2006 |
Related Entities
Other providers sharing the same authorized official: BURCHETT, SHELBY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,779 |
$542K |
| 2019 |
25,804 |
$749K |
| 2020 |
20,560 |
$595K |
| 2021 |
10,897 |
$309K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
18,836 |
17,117 |
$818K |
| 99213 |
|
16,872 |
15,808 |
$512K |
| 90460 |
|
3,838 |
3,686 |
$175K |
| 99391 |
|
2,406 |
2,058 |
$152K |
| 99392 |
|
1,948 |
1,895 |
$138K |
| 87880 |
|
6,994 |
6,647 |
$82K |
| 96110 |
|
674 |
646 |
$40K |
| 99393 |
|
553 |
539 |
$40K |
| 87804 |
|
1,333 |
1,262 |
$27K |
| 59025 |
|
959 |
425 |
$27K |
| 11721 |
|
1,403 |
1,243 |
$17K |
| 90471 |
|
1,503 |
1,438 |
$15K |
| 90686 |
|
2,626 |
2,560 |
$13K |
| 93010 |
|
1,922 |
1,591 |
$13K |
| 99395 |
|
162 |
155 |
$11K |
| 99215 |
Prolong outpt/office vis |
146 |
130 |
$11K |
| 99212 |
|
444 |
415 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
163 |
150 |
$9K |
| 87081 |
|
1,464 |
1,406 |
$9K |
| 99394 |
|
102 |
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 |
680 |
644 |
$7K |
| 36415 |
|
2,522 |
2,168 |
$7K |
| 99202 |
|
189 |
181 |
$7K |
| 99308 |
|
950 |
896 |
$6K |
| 90792 |
|
59 |
54 |
$5K |
| 99307 |
|
436 |
352 |
$3K |
| 76801 |
|
32 |
27 |
$3K |
| 90461 |
|
2,079 |
2,003 |
$2K |
| 80307 |
|
40 |
29 |
$2K |
| 81025 |
|
300 |
261 |
$2K |
| 85025 |
|
248 |
197 |
$2K |
| 0012A |
|
48 |
48 |
$2K |
| 99203 |
|
35 |
30 |
$2K |
| 90670 |
|
939 |
912 |
$2K |
| 81003 |
|
665 |
628 |
$2K |
| 76817 |
|
36 |
26 |
$1K |
| 0011A |
|
44 |
44 |
$1K |
| 92551 |
|
118 |
112 |
$1K |
| 87491 |
|
35 |
28 |
$1K |
| 87591 |
|
35 |
28 |
$1K |
| 83655 |
|
53 |
52 |
$859.69 |
| 90716 |
|
50 |
50 |
$717.98 |
| 96372 |
|
228 |
201 |
$685.59 |
| 90472 |
|
266 |
250 |
$648.43 |
| 99173 |
|
359 |
339 |
$602.94 |
| 87086 |
|
73 |
56 |
$545.73 |
| 20610 |
|
16 |
12 |
$491.32 |
| 80061 |
|
28 |
26 |
$441.55 |
| 96127 |
|
465 |
386 |
$430.57 |
| 87389 |
|
18 |
13 |
$289.41 |
| 90707 |
|
68 |
64 |
$279.67 |
| 80053 |
|
25 |
25 |
$268.17 |
| 99211 |
|
16 |
14 |
$253.40 |
| 85018 |
|
66 |
66 |
$188.93 |
| 87340 |
|
18 |
13 |
$180.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$144.90 |
| 90734 |
|
16 |
16 |
$112.93 |
| 90633 |
|
64 |
63 |
$86.22 |
| 86592 |
|
18 |
13 |
$77.69 |
| 90723 |
|
463 |
453 |
$76.37 |
| 90647 |
|
486 |
467 |
$75.23 |
| 99309 |
|
15 |
13 |
$66.63 |
| 99000 |
|
126 |
121 |
$58.82 |
| 87210 |
|
13 |
12 |
$56.65 |
| 90681 |
|
70 |
67 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 91301 |
|
141 |
141 |
$0.00 |