Medicaid Provider Spending

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

SUMNER COMMUNITY CLUB

NPI: 1780684548 · SUMNER, IA 50674 · Registered Dietitian · NPI assigned 07/22/2005

$26K
Total Medicaid Paid
1,413
Total Claims
1,178
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEVERDING, DAWN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/22/2005

Related Entities

Other providers sharing the same authorized official: EVERDING, DAWN

ProviderCityStateTotal Paid
SUMNER COMMUNITY CLUB SUMNER IA $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 126 $1K
2019 107 $1K
2020 44 $563.23
2021 114 $3K
2022 307 $6K
2023 394 $7K
2024 321 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 638 587 $8K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 32 28 $5K
36415 Collection of venous blood by venipuncture 461 332 $4K
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 14 14 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 81 57 $1K
80053 Comprehensive metabolic panel 53 41 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 97 82 $859.16
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $379.80
86140 12 12 $338.31