Physician
Orange City Municipal Hospital
Orange City Municipal Hospital was paid $878K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoORANGE CITY MUNICIPAL HOSPITAL
ORANGE CITY, IA 51041
ORANGE CITY, IA 51041
33aNPI1962477992assigned 02/22/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$878K
24GClaims27,325
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Iowa
Rank by total paid#2 of 11
Median peer was paid$60K
This provider vs. median15×
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 | 2,910 | $95K | |
| 2019 | 3,567 | $101K | |
| 2020 | 3,726 | $111K | |
| 2021 | 4,443 | $146K | |
| 2022 | 4,895 | $160K | |
| 2023 | 4,454 | $134K | |
| 2024incomplete | 3,330 | $132K |
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 | 68% | 18,006 | 16,592 | $594K |
| 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 | 5.1% | 906 | 821 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 3,355 | 3,214 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 488 | 417 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 336 | 331 | $26K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 344 | 327 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 754 | 736 | $18K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 216 | 172 | $17K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.9% | 431 | 398 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 202 | 201 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 581 | 543 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 167 | 164 | $14K |
16 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 103 | $7K |
| 90686 | <1% | 863 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 57 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 31 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 33 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 184 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 0031A | <1% | 21 | $680.00 | |
| 90688 | <1% | 35 | $595.25 | |
| 90682 | <1% | 14 | $481.36 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $347.64 |
| 90670 | <1% | 66 | $319.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $101.43 |
| 90656 | <1% | 13 | $53.96 | |
| 90648 | 0% | 63 | $0.00 | |
| 90723 | 0% | 12 | $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 officialGUTHMILLER, MARTIN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Orange City Municipal Hospital | Paullina, IA | $377K |
| Orange City Municipal Hospital | Orange City, IA | $355K |
| Orange City Municipal Hospital | Orange City, IA | $30K |
| Orange City Municipal Hospital | Orange City, IA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.