Medicaid Provider Spending

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

DELAWARE COUNTY MEMORIAL HOSPITAL

NPI: 1750354676 · MANCHESTER, IA 52057 · Critical Access Hospital · NPI assigned 02/10/2006

$1.28M
Total Medicaid Paid
34,760
Total Claims
30,624
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUTIKOFER, LON (CEO)
NPI Enumeration Date02/10/2006

Related Entities

Other providers sharing the same authorized official: BUTIKOFER, LON

ProviderCityStateTotal Paid
DELAWARE COUNTY MEMORIAL HOSPITAL MANCHESTER IA $10.89M
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 4,561 $119K
2019 4,167 $106K
2020 3,551 $101K
2021 7,264 $325K
2022 6,238 $284K
2023 6,117 $246K
2024 2,862 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,588 2,316 $363K
99284 Emergency department visit for the evaluation and management, high severity 1,281 1,123 $306K
80053 Comprehensive metabolic panel 3,140 2,774 $73K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,811 4,624 $68K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,309 2,849 $66K
36415 Collection of venous blood by venipuncture 5,583 4,700 $64K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,389 4,126 $55K
99282 Emergency department visit for the evaluation and management, low to moderate severity 682 623 $51K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 160 138 $46K
87428 1,405 1,378 $38K
G0378 Hospital observation service, per hour 77 37 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,431 645 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 284 249 $15K
81001 1,606 1,464 $14K
86140 1,143 1,006 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 94 89 $11K
96361 Intravenous infusion, hydration; each additional hour 68 61 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 303 289 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 351 309 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 85 83 $5K
71046 Radiologic examination, chest; 2 views 78 65 $4K
83605 221 191 $4K
84145 153 135 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 327 293 $3K
85652 346 322 $2K
87631 47 42 $2K
84484 133 110 $2K
96375 Therapeutic injection; each additional sequential IV push 62 53 $2K
87807 50 49 $2K
80050 General health panel 15 13 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 63 60 $1K
J2704 Injection, propofol, 10 mg 122 91 $993.79
J7120 Ringers lactate infusion, up to 1000 cc 74 60 $978.34
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 96 89 $938.59
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $776.86
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15 14 $661.79
83880 13 12 $462.61
87040 18 16 $387.64
80306 12 12 $378.97
83036 Hemoglobin; glycosylated (A1C) 12 12 $347.91
J7030 Infusion, normal saline solution , 1000 cc 22 17 $162.03
85610 27 25 $127.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 12 12 $123.95
J2405 Injection, ondansetron hydrochloride, per 1 mg 27 24 $54.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 13 12 $33.85