Transport
Sioux Valley Memorial Hospital Association
Sioux Valley Memorial Hospital Association was paid $857K by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 22% of everything it billed.
33Billing provider infoSIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
PRIMGHAR, IA 51245
PRIMGHAR, IA 51245
33aNPI1689640500assigned 02/28/2006
33bProvider typeAmbulance
28Total paid$857K
24GClaims28,306
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulance providers in Iowa
Rank by total paid#11 of 45
Median peer was paid$85K
This provider vs. median10×
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 | 4,914 | $146K | |
| 2019 | 3,800 | $88K | |
| 2020 | 2,458 | $56K | |
| 2021 | 4,178 | $116K | |
| 2022 | 4,692 | $187K | |
| 2023 | 4,858 | $162K | |
| 2024incomplete | 3,406 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 22% | 8,868 | 7,933 | $191K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 2,581 | 2,103 | $130K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 1,678 | 1,452 | $87K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 6.4% | 2,189 | 1,460 | $55K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.8% | 727 | 595 | $49K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.6% | 1,017 | 977 | $48K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.1% | 362 | 336 | $44K |
| 80053 | Comprehensive metabolic panel | 4.8% | 1,946 | 1,589 | $41K |
| A0425 | Ground mileage, per statute mile | 4.7% | 456 | 347 | $40K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.5% | 2,353 | 1,891 | $30K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 2.7% | 1,272 | 1,137 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 604 | 592 | $23K |
38 more codes
| 36415 | Collection of venous blood by venipuncture | 1.7% | 1,809 | $14K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.1% | 201 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 134 | $7K |
| 86703 | <1% | 90 | $6K | |
| 99285 | Emergency room visit (most serious) | <1% | 61 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 104 | $5K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 80 | $5K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 225 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 67 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 74 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 209 | $3K |
| 87340 | <1% | 110 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 86 | $3K |
| 86803 | <1% | 85 | $3K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 86 | $2K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 19 | $2K |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 43 | $2K |
| 85027 | <1% | 103 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 37 | $2K |
| 86140 | <1% | 119 | $1K | |
| J2704 | Injection, propofol, 10 mg | <1% | 33 | $1K |
| 81001 | <1% | 74 | $664.15 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 32 | $592.63 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $502.36 |
| 71045 | Radiologic examination, chest; single view | <1% | 17 | $491.39 |
| 87420 | <1% | 14 | $480.66 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 13 | $464.45 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 13 | $452.84 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $416.42 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $404.73 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $356.09 |
| 90647 | 0% | 68 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90657 | 0% | 17 | $0.00 | |
| 90658 | 0% | 15 | $0.00 | |
| 90670 | 0% | 46 | $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 officialGERSTANDT, TYLER (CFO)