Clinic
Pawnee County Memorial Hospital
Pawnee County Memorial Hospital was paid $181K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPAWNEE COUNTY MEMORIAL HOSPITAL
PAWNEE CITY, NE 68420
PAWNEE CITY, NE 68420
33aNPI1851345573assigned 05/19/2006
33bProvider typeRural Health Clinic/Center
28Total paid$181K
24GClaims2,525
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Nebraska
Rank by total paid#36 of 76
Median peer was paid$147K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 801 | $62K | |
| 2019 | 849 | $63K | |
| 2020 | 437 | $36K | |
| 2021 | 107 | $4K | |
| 2022 | 73 | $3K | |
| 2023 | 168 | $7K | |
| 2024incomplete | 90 | $5K |
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 | 51% | 1,157 | 1,033 | $93K |
| 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 | 31% | 699 | 629 | $55K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 464 | 366 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 124 | 109 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 14 | 14 | $2K |
| 99307 | <1% | 22 | 14 | $864.91 | |
| 90686 | <1% | 45 | 44 | $723.10 |
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 officialWERNER, JOHN (ADMINISTRATOR)
Parent organizationPAWNEE COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Siouxland Medical Education Foundation, INC | Sioux City, IA | $1.32M |
| Pawnee County Memorial Hospital | Pawnee City, NE | $165K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.