Clinic
Hy-Vee Health Exemplar Care
Hy-Vee Health Exemplar Care was paid $573K by Medicaid between May 2021 and Dec 2024, across 18 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.
33Billing provider infoHY-VEE HEALTH EXEMPLAR CARE
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1780270652assigned 12/15/2020
33bProvider typeClinic/Center
28Total paid$573K
24GClaims29,881
24DCodes billed18
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Iowa
Rank by total paid#6 of 45
Median peer was paid$74K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2021 | 1,104 | $38K | |
| 2022 | 8,749 | $280K | |
| 2023 | 11,826 | $154K | |
| 2024incomplete | 8,202 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 3,907 | 3,605 | $176K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 8,301 | 7,198 | $149K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 3,047 | 2,769 | $69K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.6% | 782 | 742 | $49K |
| 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 | 8.6% | 2,316 | 2,100 | $49K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 4,005 | 1,872 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 2,861 | 2,652 | $23K |
| 96127 | 1.6% | 805 | 406 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 530 | 434 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,386 | 1,067 | $2K |
| 81025 | <1% | 396 | 370 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | 27 | $1K |
6 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 444 | $771.94 |
| 87807 | <1% | 49 | $744.09 | |
| 81003 | <1% | 907 | $498.08 | |
| 87420 | <1% | 14 | $215.76 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 91 | $89.78 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $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 officialVAN DER VEER, JON (CEO)