Medicaid Provider Spending

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

DELAWARE COUNTY MEMORIAL HOSPITAL

NPI: 1699707257 · MANCHESTER, IA 52057 · Family Medicine Physician · NPI assigned 07/06/2006

$10.89M
Total Medicaid Paid
135,234
Total Claims
114,559
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUTIKOFER, LON (CEO)
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: BUTIKOFER, LON

ProviderCityStateTotal Paid
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $1.28M
DELAWARE COUNTY MEMORIAL HOSPITAL STRAWBERRY POINT IA $841K
DELAWARE COUNTY MEMORIAL HOSPITAL WINTHROP IA $575K
DELAWARE COUNTY MEMORIAL HOSPITAL EDGEWOOD IA $500K
DELAWARE COUNTY MEMORIAL HOSPITAL HOPKINTON IA $352K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $242K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $141K
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,993 $1.52M
2019 23,977 $1.59M
2020 17,555 $1.28M
2021 17,416 $1.50M
2022 18,777 $1.65M
2023 19,240 $1.80M
2024 15,276 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 71,809 59,621 $10.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,862 32,529 $34K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,165 1,678 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,930 6,334 $9K
99335 69 50 $2K
90834 Psychotherapy, 45 minutes with patient 4,545 3,024 $1K
99215 Prolong outpt/office vis 655 623 $437.23
90837 Psychotherapy, 53 minutes with patient 261 181 $420.57
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 700 658 $301.59
99308 Subsequent nursing facility care, per day, straightforward 164 137 $95.60
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,358 1,197 $93.85
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 808 796 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,864 1,185 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 416 411 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 150 145 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,038 951 $0.00
17110 16 12 $0.00
90791 Psychiatric diagnostic evaluation 39 38 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 650 604 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 318 150 $0.00
90785 145 110 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 74 70 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 357 347 $0.00
90832 Psychotherapy, 30 minutes with patient 24 16 $0.00
90715 41 37 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 37 37 $0.00
90474 362 340 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 92 90 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,678 2,605 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 147 133 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 61 57 $0.00
90686 360 354 $0.00
90732 25 25 $0.00
87428 14 14 $0.00