Clinic
Sac & Fox of the Miss in Iowa
Sac & Fox of the Miss in Iowa was paid $19.66M by Medicaid between Jan 2018 and Dec 2024, across 76 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 infoSAC & FOX OF THE MISS IN IOWA
TAMA, IA 52339
TAMA, IA 52339
33aNPI1962618355assigned 05/15/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$19.66M
24GClaims98,750
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Iowa
Rank by total paid#1 of 31
Median peer was paid$145K
This provider vs. median136×
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 | 7,908 | $1.42M | |
| 2019 | 10,297 | $1.79M | |
| 2020 | 12,407 | $2.16M | |
| 2021 | 24,669 | $3.56M | |
| 2022 | 18,166 | $4.16M | |
| 2023 | 14,956 | $3.67M | |
| 2024incomplete | 10,347 | $2.91M |
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 | 100% | 39,075 | 23,350 | $19.66M |
| 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% | 14,077 | 11,328 | $2K |
| 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% | 1,798 | 1,606 | $1K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | <1% | 407 | 366 | $482.26 |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | <1% | 130 | 121 | $392.52 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,938 | 2,159 | $149.34 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,747 | 1,532 | $124.44 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 967 | 707 | $113.58 |
| 95251 | <1% | 73 | 57 | $88.25 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 919 | 765 | $41.47 |
| 80053 | Comprehensive metabolic panel | <1% | 1,521 | 1,412 | $13.94 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,822 | 1,703 | $10.25 |
64 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 3,427 | $3.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,439 | $0.00 |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 0% | 221 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 243 | $0.00 |
| 90686 | 0% | 1,001 | $0.00 | |
| 91301 | 0% | 198 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,219 | $0.00 |
| 80050 | General health panel | 0% | 94 | $0.00 |
| 0011A | 0% | 274 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,195 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 1,281 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 2,621 | $0.00 |
| 90619 | 0% | 48 | $0.00 | |
| 90480 | 0% | 78 | $0.00 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 0% | 18 | $0.00 |
| 95250 | 0% | 39 | $0.00 | |
| 90656 | 0% | 95 | $0.00 | |
| 90620 | 0% | 64 | $0.00 | |
| 0134A | 0% | 91 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 255 | $0.00 |
| 90697 | 0% | 15 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 97804 | 0% | 116 | $0.00 | |
| 0001A | 0% | 225 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 24 | $0.00 |
| 0064A | 0% | 176 | $0.00 | |
| E1399 | Durable medical equipment, miscellaneous | 0% | 85 | $0.00 |
| 0012A | 0% | 270 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90674 | 0% | 190 | $0.00 | |
| 82270 | 0% | 12 | $0.00 | |
| 0072A | 0% | 44 | $0.00 | |
| 97803 | 0% | 279 | $0.00 | |
| 90461 | 0% | 190 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 388 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 234 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 492 | $0.00 |
| 80061 | Lipid panel | 0% | 1,445 | $0.00 |
| 99091 | 0% | 27 | $0.00 | |
| 81003 | 0% | 876 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 807 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 594 | $0.00 |
| 99072 | 0% | 6,424 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 792 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 244 | $0.00 |
| 81025 | 0% | 46 | $0.00 | |
| 0124A | 0% | 87 | $0.00 | |
| 0071A | 0% | 66 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 475 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 211 | $0.00 |
| 99173 | 0% | 349 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 0004A | 0% | 211 | $0.00 | |
| 86328 | 0% | 18 | $0.00 | |
| 87634 | 0% | 68 | $0.00 | |
| 90633 | 0% | 20 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 127 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 230 | $0.00 |
| 0002A | 0% | 202 | $0.00 | |
| 91322 | 0% | 63 | $0.00 | |
| 90715 | 0% | 50 | $0.00 | |
| 90734 | 0% | 43 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 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.
From NPPES
Who's on the registration
Authorized officialGONZALES, MIRZA (DIRECTOR ADMINISTRATIVE SERVICES)