Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Greater Regional Medical Center

Greater Regional Medical Center was paid $10.02M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 99284, emergency room visit (serious) — 22% of everything it billed.

33Billing provider infoGREATER REGIONAL MEDICAL CENTER
CRESTON, IA 50801
33aNPI1902805062assigned 07/20/2005
33bProvider typeCritical Access Hospital
28Total paid$10.02M
24GClaims238,288
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Iowa

Rank by total paid#1 of 79
Median peer was paid$801K
This provider vs. median13×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201837,506$1.23M
201936,330$1.22M
202029,803$1.23M
202136,178$1.64M
202238,697$1.82M
202333,961$1.63M
2024incomplete25,813$1.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 11,863 8,893 $2.25M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 13,507 9,957 $2.16M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 54,619 50,288 $1.61M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.7% 2,488 2,061 $675K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4.8% 46,729 41,941 $479K
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 3.6% 9,458 8,679 $358K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.8% 7,100 6,289 $279K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.1% 15,770 14,252 $213K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 3,685 3,300 $161K
36415 Collection of venous blood by venipuncture 1.6% 9,600 8,423 $159K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 896 821 $96K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,219 1,133 $89K
132 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,817 $87K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,567 $84K
80053 Comprehensive metabolic panel <1% 1,406 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,450 $66K
96361 Intravenous infusion, hydration; each additional hour <1% 669 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,704 $61K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,566 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,201 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 738 $48K
84484 <1% 908 $43K
80047 <1% 3,055 $41K
86140 <1% 1,008 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,137 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,644 $37K
A0425 Ground mileage, per statute mile <1% 414 $37K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,642 $36K
71045 Radiologic examination, chest; single view <1% 575 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 586 $32K
83605 <1% 499 $31K
84145 <1% 692 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 953 $28K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 550 $28K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,874 $25K
70450 Computed tomography, head or brain; without contrast material <1% 56 $25K
99203 Doctor's office visit, new patient (routine) <1% 419 $23K
99215 Doctor's office visit, returning patient (complex) <1% 470 $22K
81001 <1% 919 $22K
92567 <1% 1,314 $20K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 22 $19K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,177 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 449 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 584 $17K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 68 $14K
81003 <1% 821 $13K
84443 Thyroid stimulating hormone (TSH) <1% 354 $11K
90473 <1% 743 $11K
86141 <1% 681 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 156 $10K
77067 Screening mammography, bilateral, including computer-aided detection <1% 282 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 194 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 598 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 13 $8K
85027 <1% 555 $8K
71046 Radiologic examination, chest; 2 views <1% 516 $8K
81002 <1% 810 $7K
87486 <1% 215 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 168 $6K
90461 <1% 319 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 168 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 215 $5K
81025 <1% 279 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 405 $5K
87581 <1% 215 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 201 $4K
73630 <1% 147 $4K
80061 Lipid panel <1% 131 $4K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 18 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 49 $3K
87070 <1% 182 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 89 $3K
J2704 Injection, propofol, 10 mg <1% 63 $3K
90688 <1% 250 $3K
59025 Fetal non-stress test <1% 33 $3K
84439 <1% 181 $3K
87088 <1% 191 $2K
92557 <1% 88 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 56 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 56 $2K
80076 <1% 42 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 74 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 83 $2K
11720 <1% 334 $2K
87634 <1% 27 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 59 $2K
82728 <1% 55 $2K
82077 <1% 17 $2K
80305 <1% 74 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 68 $1K
86780 <1% 26 $1K
83690 <1% 29 $1K
91322 <1% 19 $1K
87807 <1% 111 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 17 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
86850 <1% 16 $1K
99232 Hospital visit by a doctor, follow-up day <1% 41 $930.78
90686 <1% 1,533 $793.75
73562 <1% 87 $768.03
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 14 $737.80
99441 <1% 77 $686.28
80143 <1% 13 $650.60
87631 <1% 12 $591.43
82553 <1% 17 $561.93
80179 <1% 12 $552.51
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 18 $529.10
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 16 $438.79
90620 <1% 50 $428.22
90715 <1% 160 $403.82
76830 Ultrasound, transvaginal <1% 12 $375.46
90651 <1% 261 $364.92
85007 <1% 19 $329.09
86803 <1% 12 $302.40
99308 Subsequent nursing facility care, per day, straightforward <1% 85 $294.87
A9270 Non-covered item or service <1% 127 $280.28
86900 <1% 16 $220.18
90734 <1% 303 $218.54
86901 <1% 16 $215.69
99497 <1% 17 $185.08
99442 <1% 13 $151.33
90656 <1% 118 $131.72
72100 <1% 13 $130.86
G0008 Administration of influenza virus vaccine <1% 45 $126.48
73030 <1% 13 $114.59
73130 <1% 17 $101.28
85018 <1% 12 $76.56
90633 <1% 774 $61.89
99318 <1% 32 $59.58
90480 <1% 19 $51.42
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 342 $2.00
90670 <1% 1,270 $0.49
90647 <1% 782 $0.35
90723 <1% 932 $0.29
90680 <1% 631 $0.23
90685 <1% 184 $0.17
90696 <1% 60 $0.05
90648 <1% 213 $0.05
90710 <1% 48 $0.04
90700 <1% 38 $0.03
90716 <1% 59 $0.01
90707 <1% 48 $0.01
90697 0% 12 $0.00
90681 0% 123 $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 officialMCCUTCHAN, MATT (CFO)