Physician
ST Anthony Regional Hospital and Nursing Home
ST Anthony Regional Hospital and Nursing Home was paid $1.14M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
CARROLL, IA 51401
CARROLL, IA 51401
33aNPI1801815972assigned 07/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.14M
24GClaims34,327
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#38 of 275
Median peer was paid$69K
This provider vs. median17×
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 | 4,998 | $138K | |
| 2019 | 5,159 | $168K | |
| 2020 | 4,936 | $175K | |
| 2021 | 5,682 | $192K | |
| 2022 | 6,004 | $190K | |
| 2023 | 5,276 | $195K | |
| 2024incomplete | 2,272 | $85K |
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 | 30% | 12,292 | 11,040 | $345K |
| 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 | 25% | 7,823 | 7,096 | $286K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13% | 1,589 | 1,500 | $144K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 2,651 | 816 | $116K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 1,351 | 1,251 | $54K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 1,097 | 1,003 | $41K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.9% | 813 | 705 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.6% | 709 | 671 | $29K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.5% | 1,522 | 466 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 264 | 215 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 727 | 682 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 114 | 112 | $8K |
23 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,286 | $3K |
| 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% | 260 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 200 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 151 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 202 | $2K |
| 90686 | <1% | 409 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 58 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 72 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $627.16 |
| 90651 | <1% | 25 | $318.15 | |
| 81003 | <1% | 146 | $294.59 | |
| 87807 | <1% | 23 | $268.88 | |
| 99000 | <1% | 115 | $204.31 | |
| 99072 | <1% | 125 | $40.01 | |
| 90633 | <1% | 12 | $28.74 | |
| 90461 | 0% | 134 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90723 | 0% | 13 | $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 officialMUNSON, JOHN (CFO)
Parent organizationST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
| Provider | Location | Paid |
|---|---|---|
| The Aristocrat of Las Cruces, LLC | Las Cruces, NM | $7.14M |
| ST Anthony Regional Hospital and Nursing Home | Carroll, IA | $427K |
| ST Anthony Regional Hospital and Nursing Home | Carroll, IA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.