Sartori Memorial Hospital INC
Sartori Memorial Hospital INC was paid $439K by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99283, emergency room visit (moderate) — 58% of everything it billed.
CEDAR FALLS, IA 50613
Next to other General Acute Care Hospital providers in Iowa
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,122 | $39K | |
| 2019 | 926 | $61K | |
| 2020 | 912 | $54K | |
| 2021 | 912 | $44K | |
| 2022 | 1,858 | $100K | |
| 2023 | 1,222 | $71K | |
| 2024incomplete | 452 | $71K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 58% | 1,646 | 1,550 | $253K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 574 | 534 | $157K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.4% | 138 | 112 | $6K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 14 | 12 | $4K |
| 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% | 120 | 89 | $4K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 24 | 24 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | 13 | $3K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 27 | 26 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | 28 | $1K |
| A0425 | Ground mileage, per statute mile | <1% | 1,098 | 809 | $1K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | <1% | 345 | 274 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 13 | 13 | $772.18 |
31 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 32 | $493.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 292 | $366.09 |
| 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% | 90 | $269.37 |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 35 | $200.00 |
| 80053 | Comprehensive metabolic panel | <1% | 519 | $10.56 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 93 | $8.62 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 891 | $7.77 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 61 | $0.00 |
| 94761 | 0% | 266 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 286 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 159 | $0.00 |
| 86140 | 0% | 76 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 32 | $0.00 |
| J2175 | Injection, meperidine hydrochloride, per 100 mg | 0% | 45 | $0.00 |
| 83690 | 0% | 16 | $0.00 | |
| 99153 | Mod sedat endo service >5yrs | 0% | 29 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 28 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 46 | $0.00 |
| 83605 | 0% | 15 | $0.00 | |
| 82550 | 0% | 15 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 31 | $0.00 |
| 85652 | 0% | 12 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 13 | $0.00 |
| 84484 | 0% | 14 | $0.00 | |
| 85610 | 0% | 42 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 67 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 24 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 14 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 14 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 92 | $0.00 |
| 99152 | 0% | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Covenant Medical Center INC | Waterloo, IA | $63.08M |
| Covenant Medical Center INC | Waterloo, IA | $22.00M |
| Covenant Medical Center INC | Waterloo, IA | $2.06M |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $1.97M |
| Covenant Medical Center INC | Waterloo, IA | $618K |
| Sartori Memorial Hospital INC | Cedar Falls, IA | $313K |
| Covenant Medical Center INC | Arlington, IA | $225K |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $139K |
| Sartori Memorial Hospital INC | Cedar Falls, IA | $117K |
| Covenant Medical Center INC | Waterloo, IA | $99K |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $15K |
| Covenant Medical Center INC | Waterloo, IA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.