Medicaid Provider Spending

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

FORT MADISON COMMUNITY HOSPITAL

NPI: 1902810856 · FORT MADISON, IA 52627 · General Acute Care Hospital · NPI assigned 07/28/2006

$2.16M
Total Medicaid Paid
46,320
Total Claims
41,201
Beneficiaries
54
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialBURCHETT, SHELBY (CEO)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: BURCHETT, SHELBY

ProviderCityStateTotal Paid
FORT MADISON COMMUNITY HOSPITAL FORT MADISON IA $2.20M
FORT MADISON COMMUNITY HOSPITAL FORT MADISON IA $446K
FORT MADISON COMMUNITY HOSPITAL FORT MADISON IA $228K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,196 $735K
2019 11,980 $528K
2020 13,635 $580K
2021 7,509 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 7,170 6,634 $1.40M
99283 Emergency department visit for the evaluation and management, moderate severity 2,709 2,562 $345K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 478 382 $126K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,333 1,253 $94K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,314 1,877 $49K
71046 Radiologic examination, chest; 2 views 606 533 $26K
87081 3,382 3,278 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 47 45 $18K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 180 155 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,729 5,887 $9K
80053 Comprehensive metabolic panel 5,168 4,524 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 69 65 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 373 334 $5K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 111 89 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,217 979 $5K
84443 Thyroid stimulating hormone (TSH) 264 246 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 231 218 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 231 218 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 81 26 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 24 $2K
36415 Collection of venous blood by venipuncture 6,617 5,583 $2K
81001 2,219 2,002 $2K
84439 204 184 $1K
86900 14 13 $1K
87086 Culture, bacterial; quantitative colony count, urine 460 427 $1K
80061 Lipid panel 107 95 $1K
86850 45 43 $833.40
71045 Radiologic examination, chest; single view 17 15 $752.65
88305 Level IV - Surgical pathology, gross and microscopic examination 58 39 $526.97
96375 Therapeutic injection; each additional sequential IV push 25 24 $485.14
87430 850 820 $410.63
87210 76 71 $372.54
87400 705 680 $363.84
82607 29 26 $270.78
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 12 $248.53
86592 58 55 $216.39
80048 Basic metabolic panel (calcium, ionized) 28 25 $186.71
87341 15 14 $159.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 861 793 $127.87
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 44 42 $121.25
11721 84 79 $99.50
87340 43 41 $98.10
82950 13 12 $49.61
84484 544 395 $13.97
86762 31 29 $0.00
82150 60 43 $0.00
84703 15 14 $0.00
74019 80 62 $0.00
83880 15 14 $0.00
83735 67 58 $0.00
86140 19 16 $0.00
83690 76 57 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 78 65 $0.00
85610 29 24 $0.00