Medicaid Provider Spending

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

ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME

NPI: 1801815972 · CARROLL, IA 51401 · Family Medicine Physician · NPI assigned 07/19/2006

$1.14M
Total Medicaid Paid
34,327
Total Claims
28,625
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUNSON, JOHN (CFO)
Parent OrganizationST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: MUNSON, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,272 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,292 11,040 $345K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,823 7,096 $286K
90792 Psychiatric diagnostic evaluation with medical services 1,589 1,500 $144K
99233 Prolong inpt eval add15 m 2,651 816 $116K
99215 Prolong outpt/office vis 1,351 1,251 $54K
90460 Immunization administration through 18 years of age via any route, first or only component 1,097 1,003 $41K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 813 705 $34K
99238 Hospital discharge day management, 30 minutes or less 709 671 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,522 466 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 264 215 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 727 682 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 114 112 $8K
36415 Collection of venous blood by venipuncture 1,286 1,118 $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) 260 244 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 37 36 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 200 186 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 28 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 23 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 151 147 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 202 193 $2K
90686 409 399 $2K
99232 Subsequent hospital care, per day, moderate complexity 58 25 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 72 63 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $627.16
90651 25 23 $318.15
81003 146 140 $294.59
87807 23 19 $268.88
99000 115 99 $204.31
99072 125 117 $40.01
90633 12 12 $28.74
90461 134 133 $0.00
90670 14 14 $0.00
90647 12 12 $0.00
90680 12 12 $0.00
90723 13 13 $0.00