Medicaid Provider Spending

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

CURANA HEALTH OF IOWA PLLC

NPI: 1730773714 · OSCEOLA, IA 50213 · Internal Medicine Physician · NPI assigned 02/22/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$425K
Total Medicaid Paid
68,016
Total Claims
43,591
Beneficiaries
29
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date02/22/2021

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 735 $4K
2022 8,274 $71K
2023 31,429 $152K
2024 27,578 $197K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 22,927 13,747 $283K
99310 Prolong nursin fac eval 15m 16,285 10,201 $98K
99306 Prolong nursin fac eval 15m 1,313 1,176 $20K
99308 Subsequent nursing facility care, per day, straightforward 1,439 827 $7K
90792 Psychiatric diagnostic evaluation with medical services 237 207 $5K
99497 315 238 $5K
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 218 182 $2K
99358 Prolong nursin fac eval 15m 249 218 $2K
99305 124 113 $2K
99307 91 54 $637.08
99304 34 18 $209.50
90791 Psychiatric diagnostic evaluation 15 14 $206.08
99318 18 14 $182.88
1123F 260 242 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,196 1,685 $0.00
1126F 5,536 3,453 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,879 1,533 $0.00
3074F 1,432 959 $0.00
1125F 412 263 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 150 126 $0.00
3044F 162 121 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 305 245 $0.00
1170F 117 111 $0.00
3079F 28 25 $0.00
1160F 4,993 3,147 $0.00
1159F 4,993 3,147 $0.00
3078F 1,988 1,287 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 134 112 $0.00
1494F 166 126 $0.00