Clinic
Montgomery County Memorial Hospital
Montgomery County Memorial Hospital was paid $1.90M by Medicaid between Feb 2023 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMONTGOMERY COUNTY MEMORIAL HOSPITAL
RED OAK, IA 51566
RED OAK, IA 51566
33aNPI1891405452assigned 12/05/2022
33bProvider typeRural Health Clinic/Center
28Total paid$1.90M
24GClaims17,469
24DCodes billed37
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#43 of 182
Median peer was paid$561K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2023 | 7,229 | $340K | |
| 2024incomplete | 10,240 | $1.56M |
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 | 100% | 7,882 | 6,511 | $1.90M |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 41 | 38 | $521.56 |
| 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% | 4,170 | 3,593 | $73.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 473 | 448 | $61.51 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 321 | 306 | $39.36 |
| 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% | 1,400 | 1,314 | $15.61 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 28 | 27 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 48 | 48 | $0.00 |
| 90461 | 0% | 170 | 155 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 39 | 35 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 114 | 110 | $0.00 |
| 90671 | 0% | 28 | 26 | $0.00 |
25 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 108 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 273 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 28 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 105 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 38 | $0.00 |
| 91320 | 0% | 36 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 90656 | 0% | 64 | $0.00 | |
| 90480 | 0% | 59 | $0.00 | |
| 90688 | 0% | 127 | $0.00 | |
| 96127 | 0% | 284 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 548 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 153 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 496 | $0.00 |
| 90686 | 0% | 175 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 90677 | 0% | 42 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 90651 | 0% | 37 | $0.00 | |
| 90619 | 0% | 64 | $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 officialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent organizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Montgomery County Memorial Hospital | Red Oak, IA | $1.67M |
| Montgomery County Memorial Hospital | Malvern, IA | $1.03M |
| Montgomery County Memorial Hospital | Red Oak, IA | $524K |
| Montgomery County Memorial Hospital | Villisca, IA | $218K |
| Montgomery County Memorial Hospital | Red Oak, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.