Physician
Spencer Municipal Hospital
Spencer Municipal Hospital was paid $335K by Medicaid between Jun 2020 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSPENCER MUNICIPAL HOSPITAL
SPENCER, IA 51301
SPENCER, IA 51301
33aNPI1821619479assigned 05/05/2020
33bProvider typeOtolaryngology Physician
28Total paid$335K
24GClaims9,270
24DCodes billed11
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Iowa
Rank by total paid#5 of 17
Median peer was paid$64K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 353 | $4K | |
| 2021 | 1,702 | $69K | |
| 2022 | 2,865 | $109K | |
| 2023 | 2,533 | $95K | |
| 2024incomplete | 1,817 | $57K |
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 | 26% | 3,045 | 2,508 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 1,207 | 1,048 | $70K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 14% | 232 | 198 | $46K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 284 | 245 | $41K |
| 92567 | 11% | 3,028 | 2,421 | $37K | |
| 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 | 5.8% | 278 | 212 | $19K |
| 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 | 5.0% | 364 | 324 | $17K |
| 92557 | 2.3% | 290 | 227 | $8K | |
| 92504 | 1.8% | 376 | 302 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 133 | 119 | $3K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 33 | 31 | $1K |
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 (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Spencer Municipal Hospital | Spencer, IA | $3.20M |
| Spencer Municipal Hospital | Spencer, IA | $3.07M |
| 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.