Medicaid Provider Spending

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

MONTGOMERY COUNTY MEMORIAL HOSPITAL

NPI: 1639768401 · MALVERN, IA 51551 · Rural Health Clinic/Center · NPI assigned 01/15/2021

$1.03M
Total Medicaid Paid
8,974
Total Claims
7,046
Beneficiaries
9
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent OrganizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date01/15/2021

Related Entities

Other providers sharing the same authorized official: KLOEWER, RONALD

ProviderCityStateTotal Paid
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $1.90M
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $1.67M
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $524K
MONTGOMERY COUNTY MEMORIAL HOSPITAL VILLISCA IA $218K
MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK IA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,221 $66K
2022 1,809 $274K
2023 3,063 $382K
2024 2,881 $313K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,990 4,593 $1.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,194 1,748 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 161 136 $563.91
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 81 77 $113.67
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 47 47 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 193 164 $0.00
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) 40 32 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 256 237 $0.00