Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Fort Dodge › NPI 1922578202
Clinic

Iowa Specialty Hospital - Clarion

Iowa Specialty Hospital - Clarion was paid $1.90M by Medicaid between Jul 2020 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoIOWA SPECIALTY HOSPITAL - CLARION
FORT DODGE, IA 50501
33aNPI1922578202assigned 11/29/2018
28Total paid$1.90M
24GClaims21,575
24DCodes billed12
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Iowa

Rank by total paid#44 of 182
Median peer was paid$561K
This provider vs. median3.4×

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$20K$40K$60K2018201920202021202220232024
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
20201,633$76K
20215,185$324K
20225,188$449K
20235,015$532K
2024incomplete4,554$517K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 11,101 9,051 $1.90M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 4,456 3,918 $108.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,661 1,483 $34.22
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 0% 125 120 $0.00
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 890 862 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 649 526 $0.00
11721 0% 235 231 $0.00
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 0% 1,920 1,773 $0.00
20610 0% 474 455 $0.00
90686 0% 13 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 37 34 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 14 14 $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 officialSIMONIN, STEVE (CEO)
Same official

Other billing entities under SIMONIN, STEVE

Full network →
ProviderLocationPaid
Iowa Specialty Hospital- ClarionClarion, IA$6.84M
Iowa Specialty Hospital- ClarionClarion, IA$1.38M
Iowa Specialty Hospital- ClarionClarion, IA$801K
Iowa Specialty Hospital- ClarionClarion, IA$44.11

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.