Clinic
Madison County Memorial Hospital
Madison County Memorial Hospital was paid $4.62M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoMADISON COUNTY MEMORIAL HOSPITAL
WINTERSET, IA 50273
WINTERSET, IA 50273
33aNPI1962567990assigned 12/27/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.62M
24GClaims64,186
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#22 of 182
Median peer was paid$561K
This provider vs. median8.2×
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 | 10,676 | $763K | |
| 2019 | 9,893 | $672K | |
| 2020 | 8,015 | $558K | |
| 2021 | 9,629 | $682K | |
| 2022 | 9,703 | $686K | |
| 2023 | 9,486 | $686K | |
| 2024incomplete | 6,784 | $567K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 33,751 | 29,509 | $4.56M |
| 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% | 19,948 | 17,787 | $32K |
| 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 | <1% | 4,100 | 3,648 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,904 | 2,739 | $565.07 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | 13 | $524.74 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 189 | 168 | $277.41 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 273 | 256 | $83.93 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 269 | 263 | $82.78 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $82.47 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 397 | 359 | $65.86 |
| 90686 | <1% | 185 | 180 | $60.00 | |
| 0001A | <1% | 14 | 13 | $25.00 |
10 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 861 | $21.67 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 533 | $17.89 |
| 81003 | 0% | 143 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 255 | $0.00 |
| 90473 | 0% | 63 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 120 | $0.00 |
| 90474 | 0% | 17 | $0.00 | |
| 99000 | 0% | 85 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 39 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 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 officialHENDRICKS, MARCIA (CEO)
Parent organizationMADISON COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Madison County Memorial Hospital | Earlham, IA | $318K |
| Madison County Memorial Hospital | Winterset, IA | $210K |
| Madison County Memorial Hospital | Winterset, IA | $45K |
| Madison County Memorial Hospital | Winterset, IA | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.