PALO ALTO COUNTY HOSPITAL
NPI: 1639243116
· EMMETSBURG, IA 50536
· 261QR1300X
$4.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,784 |
$538K |
| 2019 |
9,218 |
$671K |
| 2020 |
8,472 |
$585K |
| 2021 |
8,425 |
$605K |
| 2022 |
10,358 |
$758K |
| 2023 |
10,833 |
$852K |
| 2024 |
9,229 |
$723K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
33,365 |
24,310 |
$4.73M |
| 99213 |
|
14,901 |
12,296 |
$3K |
| 99308 |
|
343 |
323 |
$1K |
| 99391 |
|
1,465 |
1,319 |
$296.11 |
| 99214 |
|
5,114 |
4,543 |
$273.22 |
| 90834 |
|
3,801 |
2,213 |
$232.20 |
| 90791 |
|
174 |
168 |
$210.41 |
| 99392 |
|
1,124 |
1,086 |
$82.33 |
| Q2039 |
Influenza virus vaccine, nos |
346 |
334 |
$20.61 |
| 99212 |
|
441 |
420 |
$15.41 |
| 90471 |
|
1,503 |
1,434 |
$5.19 |
| 96372 |
|
104 |
83 |
$3.85 |
| 90686 |
|
249 |
236 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 99393 |
|
308 |
301 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
273 |
259 |
$0.00 |
| 90832 |
|
182 |
144 |
$0.00 |
| 90734 |
|
60 |
59 |
$0.00 |
| 99394 |
|
284 |
276 |
$0.00 |
| 90472 |
|
118 |
108 |
$0.00 |
| 99188 |
|
44 |
42 |
$0.00 |
| 90715 |
|
31 |
30 |
$0.00 |
| 99395 |
|
50 |
50 |
$0.00 |
| 99203 |
|
13 |
12 |
$0.00 |
| 90682 |
|
14 |
13 |
$0.00 |