Physician
Jennie Edmundson Memorial Hospital
Jennie Edmundson Memorial Hospital was paid $5.47M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.
33Billing provider infoJENNIE EDMUNDSON MEMORIAL HOSPITAL
COUNCIL BLUFFS, IA 51503
COUNCIL BLUFFS, IA 51503
33aNPI1942251269assigned 05/12/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$5.47M
24GClaims89,866
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Iowa
Rank by total paid#1 of 18
Median peer was paid$2K
This provider vs. median2,754×
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 | 11,951 | $726K | |
| 2019 | 13,046 | $758K | |
| 2020 | 11,308 | $687K | |
| 2021 | 13,292 | $726K | |
| 2022 | 13,942 | $783K | |
| 2023 | 14,724 | $1.00M | |
| 2024incomplete | 11,603 | $784K |
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 | 32% | 24,643 | 23,385 | $1.76M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 25,042 | 23,923 | $1.24M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 18,538 | 6,541 | $707K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 13% | 6,023 | 5,494 | $707K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.9% | 3,110 | 2,930 | $322K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.0% | 5,935 | 5,395 | $271K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.7% | 1,013 | 943 | $200K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.2% | 2,952 | 2,760 | $177K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 1,254 | 480 | $59K |
| 88307 | <1% | 114 | 114 | $9K | |
| 90870 | <1% | 251 | 93 | $7K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 211 | 89 | $3K |
9 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 96 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 78 | $2K |
| 97597 | <1% | 340 | $2K | |
| 88342 | <1% | 48 | $1K | |
| 88304 | <1% | 74 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | $837.62 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 26 | $683.73 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $180.81 |
| 88302 | <1% | 12 | $174.36 |
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 officialFRANCIS, JEFF (VP FINANCE & CFO)
| Provider | Location | Paid |
|---|---|---|
| Jennie Edmundson Memorial Hospital | Council Bluffs, IA | $9.83M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.