Behavioral
Clarke County Public Hospital
Clarke County Public Hospital was paid $4.51M by Medicaid between Jul 2019 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoCLARKE COUNTY PUBLIC HOSPITAL
OSCEOLA, IA 50213
OSCEOLA, IA 50213
33aNPI1851856132assigned 01/31/2019
33bProvider typeSocial Worker
28Total paid$4.51M
24GClaims89,464
24DCodes billed56
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Social Worker providers in Iowa
Rank by total paid#7 of 83
Median peer was paid$49K
This provider vs. median92×
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 | |
|---|---|---|---|
| 2019 | 8,194 | $463K | |
| 2020 | 13,484 | $663K | |
| 2021 | 18,138 | $846K | |
| 2022 | 18,653 | $904K | |
| 2023 | 17,053 | $897K | |
| 2024incomplete | 13,942 | $739K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 38,992 | 29,645 | $4.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 22,318 | 18,651 | $46K |
| 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 | <1% | 10,410 | 9,162 | $32K |
| 96127 | <1% | 875 | 776 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 688 | 670 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 612 | 580 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,568 | 2,464 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 216 | 212 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 910 | 865 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,526 | 1,435 | $2K |
| 87428 | <1% | 58 | 55 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,013 | 965 | $1K |
44 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 264 | $987.36 |
| 0002A | <1% | 134 | $640.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 108 | $586.54 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 573 | $578.49 |
| 90651 | <1% | 203 | $495.85 | |
| 0001A | <1% | 143 | $480.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,460 | $438.01 |
| 90686 | <1% | 1,378 | $269.99 | |
| 3074F | <1% | 193 | $240.00 | |
| 90734 | <1% | 207 | $225.86 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 268 | $204.86 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 108 | $202.54 |
| 3078F | <1% | 199 | $180.00 | |
| 3079F | <1% | 83 | $120.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 149 | $102.95 |
| 90461 | <1% | 1,123 | $84.08 | |
| 90715 | <1% | 133 | $80.29 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 835 | $61.08 |
| 0134A | <1% | 26 | $40.00 | |
| 3077F | <1% | 30 | $40.00 | |
| 90656 | <1% | 123 | $19.86 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 86 | $9.34 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 17 | $2.05 |
| 3075F | 0% | 68 | $0.00 | |
| 90680 | 0% | 53 | $0.00 | |
| 90647 | 0% | 105 | $0.00 | |
| 90697 | 0% | 24 | $0.00 | |
| 91307 | 0% | 74 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 90677 | 0% | 71 | $0.00 | |
| 90723 | 0% | 65 | $0.00 | |
| 3044F | 0% | 35 | $0.00 | |
| 95117 | 0% | 50 | $0.00 | |
| 0072A | 0% | 17 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 3080F | 0% | 16 | $0.00 | |
| 90710 | 0% | 46 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 40 | $0.00 |
| 90671 | 0% | 25 | $0.00 | |
| 91300 | 0% | 337 | $0.00 | |
| 90670 | 0% | 286 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 91313 | 0% | 26 | $0.00 | |
| 0071A | 0% | 28 | $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 officialDANIELS, SUSAN (CFO)
Parent organizationCLARKE COUNTY PUBLIC HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Ariosa Diagnostics, INC. | San Jose, CA | $11.48M |
| Clarke County Public Hospital | Osceola, IA | $5.06M |
| Hatch Pediatrics LLC | Bozeman, MT | $1.74M |
| Clarke County Public Hospital | Osceola, IA | $426K |
| Clarke County Public Hospital | Osceola, IA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.