Hospital
Delaware County Memorial Hospital
Delaware County Memorial Hospital was paid $1.28M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99283, emergency room visit (moderate) — 28% of everything it billed.
33Billing provider infoDELAWARE COUNTY MEMORIAL HOSPITAL
MANCHESTER, IA 52057
MANCHESTER, IA 52057
33aNPI1750354676assigned 02/10/2006
33bProvider typeCritical Access Hospital
28Total paid$1.28M
24GClaims34,760
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#30 of 79
Median peer was paid$801K
This provider vs. median1.6×
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 | 4,561 | $119K | |
| 2019 | 4,167 | $106K | |
| 2020 | 3,551 | $101K | |
| 2021 | 7,264 | $325K | |
| 2022 | 6,238 | $284K | |
| 2023 | 6,117 | $246K | |
| 2024incomplete | 2,862 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 2,588 | 2,316 | $363K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 1,281 | 1,123 | $306K |
| 80053 | Comprehensive metabolic panel | 5.7% | 3,140 | 2,774 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 4,811 | 4,624 | $68K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 3,309 | 2,849 | $66K |
| 36415 | Collection of venous blood by venipuncture | 5.0% | 5,583 | 4,700 | $64K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.3% | 4,389 | 4,126 | $55K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.0% | 682 | 623 | $51K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.6% | 160 | 138 | $46K |
| 87428 | 2.9% | 1,405 | 1,378 | $38K | |
| G0378 | Hospital observation service, per hour | 1.8% | 77 | 37 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,431 | 645 | $15K |
33 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.2% | 284 | $15K |
| 81001 | 1.1% | 1,606 | $14K | |
| 86140 | 1.1% | 1,143 | $14K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 94 | $11K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 68 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 303 | $6K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 351 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 85 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 78 | $4K |
| 83605 | <1% | 221 | $4K | |
| 84145 | <1% | 153 | $3K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 327 | $3K |
| 85652 | <1% | 346 | $2K | |
| 87631 | <1% | 47 | $2K | |
| 84484 | <1% | 133 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 62 | $2K |
| 87807 | <1% | 50 | $2K | |
| 80050 | General health panel | <1% | 15 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 63 | $1K |
| J2704 | Injection, propofol, 10 mg | <1% | 122 | $993.79 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 74 | $978.34 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 96 | $938.59 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $776.86 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $661.79 |
| 83880 | <1% | 13 | $462.61 | |
| 87040 | <1% | 18 | $387.64 | |
| 80306 | <1% | 12 | $378.97 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $347.91 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 22 | $162.03 |
| 85610 | <1% | 27 | $127.73 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 12 | $123.95 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 27 | $54.19 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 13 | $33.85 |
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 officialBUTIKOFER, LON (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.