Hospital
Fort Madison Community Hospital
Fort Madison Community Hospital was paid $2.16M by Medicaid between Jan 2018 and Jun 2021, across 54 billing codes. Its largest line is 99284, emergency room visit (serious) — 65% of everything it billed.
33Billing provider infoFORT MADISON COMMUNITY HOSPITAL
FORT MADISON, IA 52627
FORT MADISON, IA 52627
33aNPI1902810856assigned 07/28/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.16M
24GClaims46,320
24DCodes billed54
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Acute Care Hospital providers in Iowa
Rank by total paid#20 of 29
Median peer was paid$6.37M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 13,196 | $735K | |
| 2019 | 11,980 | $528K | |
| 2020 | 13,635 | $580K | |
| 2021 | 7,509 | $315K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 65% | 7,170 | 6,634 | $1.40M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 2,709 | 2,562 | $345K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.8% | 478 | 382 | $126K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.4% | 1,333 | 1,253 | $94K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.3% | 2,314 | 1,877 | $49K |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 606 | 533 | $26K |
| 87081 | <1% | 3,382 | 3,278 | $21K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 47 | 45 | $18K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 180 | 155 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,729 | 5,887 | $9K |
| 80053 | Comprehensive metabolic panel | <1% | 5,168 | 4,524 | $8K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 69 | 65 | $6K |
42 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 373 | $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 | <1% | 111 | $5K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,217 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 264 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 231 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 231 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 81 | $3K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 27 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,617 | $2K |
| 81001 | <1% | 2,219 | $2K | |
| 84439 | <1% | 204 | $1K | |
| 86900 | <1% | 14 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 460 | $1K |
| 80061 | Lipid panel | <1% | 107 | $1K |
| 86850 | <1% | 45 | $833.40 | |
| 71045 | Radiologic examination, chest; single view | <1% | 17 | $752.65 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 58 | $526.97 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 25 | $485.14 |
| 87430 | <1% | 850 | $410.63 | |
| 87210 | <1% | 76 | $372.54 | |
| 87400 | <1% | 705 | $363.84 | |
| 82607 | <1% | 29 | $270.78 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 14 | $248.53 |
| 86592 | <1% | 58 | $216.39 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 28 | $186.71 |
| 87341 | <1% | 15 | $159.99 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 861 | $127.87 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 44 | $121.25 |
| 11721 | <1% | 84 | $99.50 | |
| 87340 | <1% | 43 | $98.10 | |
| 82950 | <1% | 13 | $49.61 | |
| 84484 | <1% | 544 | $13.97 | |
| 86762 | 0% | 31 | $0.00 | |
| 82150 | 0% | 60 | $0.00 | |
| 84703 | 0% | 15 | $0.00 | |
| 74019 | 0% | 80 | $0.00 | |
| 83880 | 0% | 15 | $0.00 | |
| 83735 | 0% | 67 | $0.00 | |
| 86140 | 0% | 19 | $0.00 | |
| 83690 | 0% | 76 | $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 | 0% | 78 | $0.00 |
| 85610 | 0% | 29 | $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 officialBURCHETT, SHELBY (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.