Hospital
Sibley Medical Center
Sibley Medical Center was paid $182K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSIBLEY MEDICAL CENTER
ARLINGTON, MN 55307
ARLINGTON, MN 55307
33aNPI1740240225assigned 03/27/2006
33bProvider typeCritical Access Hospital
28Total paid$182K
24GClaims5,466
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#55 of 68
Median peer was paid$798K
This provider vs. median0.2×
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 | 687 | $9K | |
| 2019 | 1,024 | $36K | |
| 2020 | 691 | $25K | |
| 2021 | 987 | $38K | |
| 2022 | 972 | $42K | |
| 2023 | 677 | $19K | |
| 2024incomplete | 428 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,890 | 1,740 | $76K |
| 36415 | Collection of venous blood by venipuncture | 21% | 2,652 | 2,318 | $38K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 10% | 323 | 298 | $19K |
| 87631 | 8.1% | 77 | 72 | $15K | |
| 80053 | Comprehensive metabolic panel | 3.6% | 78 | 75 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.5% | 80 | 69 | $6K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 3.5% | 77 | 75 | $6K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.3% | 55 | 55 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 159 | 148 | $4K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.9% | 33 | 31 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 16 | 16 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 13 | $508.16 |
1 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $430.44 |
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 officialPHELPS, MICHAEL (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | $19.62M |
| Ridgeview Medical Center | Waconia, MN | $7.11M |
| Sibley Medical Center | Arlington, MN | $238K |
| Minnesota Valley Health Center INC | Le Sueur, MN | $205K |
| Sibley Medical Center | Gaylord, MN | $153K |
| Sibley Medical Center | Winthrop, MN | $67K |
| Norris City-Omaha-Enfield Csud 3 | Norris City, IL | $45K |
| Sibley Medical Center | Henderson, MN | $9K |
| Martinsville Chiropractic Care, P.C. | Martinsville, IN | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.