Medicaid Provider Spending

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

DALLAS COUNTY HOSPITAL

NPI: 1861416307 · PERRY, IA 50220 · Family Medicine Physician · NPI assigned 07/27/2006

$295K
Total Medicaid Paid
6,813
Total Claims
5,866
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMORTOZA, ANGELA (CEO)
Parent OrganizationDALLAS COUNTY HOSPITAL
NPI Enumeration Date07/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,156 $57K
2019 2,584 $87K
2020 515 $24K
2021 640 $33K
2022 852 $43K
2023 647 $33K
2024 419 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,491 4,161 $237K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,251 771 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 801 748 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 211 128 $7K
00170 Anesthesia for intraoral procedures, including biopsy 31 31 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $0.00