Hospital
Madison County Memorial Hospital
Madison County Memorial Hospital was paid $210K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.
33Billing provider infoMADISON COUNTY MEMORIAL HOSPITAL
WINTERSET, IA 50273
WINTERSET, IA 50273
33aNPI1831104611assigned 07/30/2006
33bProvider typeCritical Access Hospital
28Total paid$210K
24GClaims9,394
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#59 of 79
Median peer was paid$801K
This provider vs. median0.3×
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 | 1,805 | $26K | |
| 2019 | 1,206 | $28K | |
| 2020 | 1,309 | $22K | |
| 2021 | 1,632 | $46K | |
| 2022 | 1,660 | $44K | |
| 2023 | 1,014 | $23K | |
| 2024incomplete | 768 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 299 | 268 | $38K |
| 80053 | Comprehensive metabolic panel | 16% | 441 | 395 | $35K |
| 36415 | Collection of venous blood by venipuncture | 15% | 4,922 | 3,980 | $32K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 13% | 1,311 | 1,149 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.8% | 475 | 453 | $12K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.0% | 50 | 40 | $10K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.0% | 166 | 159 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 515 | 494 | $9K |
| 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 | 2.5% | 83 | 77 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.3% | 17 | 12 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 336 | 160 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.0% | 171 | 139 | $4K |
10 more codes
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 1.9% | 78 | $4K |
| 87581 | 1.6% | 47 | $3K | |
| 87486 | 1.6% | 47 | $3K | |
| 87430 | <1% | 217 | $2K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 47 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 14 | $977.97 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 113 | $877.08 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $634.16 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $333.89 |
| 81001 | <1% | 16 | $206.97 |
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 officialHENDRICKS, MARCIA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Madison County Memorial Hospital | Winterset, IA | $4.62M |
| Madison County Memorial Hospital | Earlham, IA | $318K |
| Madison County Memorial Hospital | Winterset, IA | $45K |
| Madison County Memorial Hospital | Winterset, IA | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.