Hospital
Madelia Health
Madelia Health was paid $755K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoMADELIA HEALTH
MADELIA, MN 56062
MADELIA, MN 56062
33aNPI1912999137assigned 08/16/2005
33bProvider typeCritical Access Hospital
28Total paid$755K
24GClaims14,347
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#37 of 68
Median peer was paid$798K
This provider vs. median0.9×
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 | 1,574 | $17K | |
| 2019 | 1,366 | $79K | |
| 2020 | 1,824 | $97K | |
| 2021 | 2,281 | $145K | |
| 2022 | 2,457 | $157K | |
| 2023 | 3,051 | $149K | |
| 2024incomplete | 1,794 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 6,057 | 4,941 | $283K |
| 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 | 34% | 3,568 | 2,979 | $254K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.5% | 1,204 | 1,148 | $72K |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 1,215 | 1,075 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 532 | 415 | $17K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 293 | 262 | $13K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.7% | 74 | 67 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 131 | 95 | $12K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 192 | 123 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 147 | 139 | $8K |
| 80053 | Comprehensive metabolic panel | 1.0% | 132 | 122 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 51 | 12 | $7K |
16 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 43 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 41 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 124 | $5K |
| 99284 | Emergency room visit (serious) | <1% | 15 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 131 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| 87634 | <1% | 18 | $1K | |
| 90686 | <1% | 117 | $1K | |
| 0012A | <1% | 36 | $685.69 | |
| 0002A | <1% | 21 | $654.06 | |
| 90836 | <1% | 13 | $625.46 | |
| G0008 | Administration of influenza virus vaccine | <1% | 58 | $551.17 |
| 0011A | <1% | 41 | $533.95 | |
| 0001A | <1% | 21 | $491.86 | |
| 90662 | <1% | 15 | $475.16 |
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 officialMCGUIRE, KAYLA (ADMINISTRATIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Madelia Health | Madelia, MN | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.