Physician
Spencer Municipal Hospital
Spencer Municipal Hospital was paid $3.07M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSPENCER MUNICIPAL HOSPITAL
SPENCER, IA 51301
SPENCER, IA 51301
33aNPI1780062273assigned 05/15/2015
33bProvider typePsychiatry Physician
28Total paid$3.07M
24GClaims100,955
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Iowa
Rank by total paid#2 of 26
Median peer was paid$23K
This provider vs. median131×
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 | 14,257 | $385K | |
| 2019 | 14,642 | $418K | |
| 2020 | 11,701 | $348K | |
| 2021 | 16,298 | $498K | |
| 2022 | 16,737 | $551K | |
| 2023 | 15,065 | $485K | |
| 2024incomplete | 12,255 | $385K |
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 | 47% | 44,003 | 39,840 | $1.44M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 16,842 | 14,794 | $716K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.9% | 4,836 | 4,580 | $180K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.3% | 1,400 | 1,312 | $132K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 2,073 | 1,945 | $56K |
| 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 | 1.7% | 751 | 715 | $51K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.4% | 331 | 320 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 5,082 | 4,806 | $42K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 984 | 914 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 553 | 480 | $37K |
| 87634 | 1.1% | 501 | 453 | $33K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 514 | 486 | $31K |
37 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,034 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,934 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 355 | $25K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,166 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 491 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 264 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,143 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 232 | $17K |
| 90686 | <1% | 1,811 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 252 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 429 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 117 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 477 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 287 | $4K |
| 90734 | <1% | 77 | $3K | |
| 90651 | <1% | 48 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 151 | $2K |
| 0240U | <1% | 13 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 140 | $2K |
| 85018 | <1% | 633 | $2K | |
| 80050 | General health panel | <1% | 28 | $1K |
| 81001 | <1% | 259 | $967.18 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 26 | $967.16 |
| 90715 | <1% | 52 | $829.84 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $471.28 |
| 80061 | Lipid panel | <1% | 27 | $448.96 |
| 90473 | <1% | 33 | $395.01 | |
| 81003 | <1% | 212 | $357.98 | |
| 84439 | <1% | 32 | $303.58 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 27 | $262.56 |
| 90670 | <1% | 40 | $225.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $124.28 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $117.07 |
| 90656 | <1% | 16 | $39.72 | |
| 36416 | <1% | 157 | $6.34 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 27 | $5.14 |
| 90672 | 0% | 33 | $0.00 |
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 officialTIEFENTHALER, BRENDA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Spencer Municipal Hospital | Spencer, IA | $3.20M |
| Spencer Municipal Hospital | Spencer, IA | $335K |
| Spencer Municipal Hospital | Spencer, IA | $210K |
| Spencer Municipal Hospital | Spencer, IA | $63K |
| Spencer Municipal Hospital | Milford, IA | $23K |
| Spencer Municipal Hospital | Sioux Rapids, IA | $10K |
| Spencer Municipal Hospital | Spencer, IA | $5K |
| Spencer Municipal Hospital | Spirit Lake, IA | $3K |
| Spencer Municipal Hospital | Hartley, IA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.