Medicaid Provider Spending

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

MONTGOMERY COUNTY MEMORIAL HOSPITAL

NPI: 1891405452 · RED OAK, IA 51566 · Rural Health Clinic/Center · NPI assigned 12/05/2022

$1.90M
Total Medicaid Paid
17,469
Total Claims
15,195
Beneficiaries
37
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLOEWER, RONALD (ADMINISTRATOR/CEO)
Parent OrganizationMONTGOMERY COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date12/05/2022

Related Entities

Other providers sharing the same authorized official: KLOEWER, RONALD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 7,229 $340K
2024 10,240 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 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) 41 38 $521.56
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,170 3,593 $73.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 473 448 $61.51
90460 Immunization administration through 18 years of age via any route, first or only component 321 306 $39.36
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,400 1,314 $15.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 28 27 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 48 48 $0.00
90461 170 155 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 35 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 114 110 $0.00
90671 28 26 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 108 107 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 273 256 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28 25 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 105 103 $0.00
90472 Immunization administration, each additional vaccine (list separately) 38 29 $0.00
91320 36 34 $0.00
90715 24 24 $0.00
90710 14 13 $0.00
90633 14 13 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $0.00
90656 64 64 $0.00
90480 59 57 $0.00
90688 127 123 $0.00
96127 284 274 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 548 534 $0.00
36415 Collection of venous blood by venipuncture 153 145 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 496 409 $0.00
90686 175 171 $0.00
90696 14 13 $0.00
99383 13 12 $0.00
90677 42 42 $0.00
90697 13 12 $0.00
90651 37 37 $0.00
90619 64 61 $0.00