GUTTENBERG MUNICIPAL HOSPITAL
NPI: 1972855286
· GUTTENBERG, IA 52052
· Rural Health Clinic/Center
· NPI assigned 10/10/2012
$4.12M
Total Medicaid Paid
Provider Details
| Authorized Official | STAGMAN, SUSAN (CREDENTIALING SPECIALIST) |
| Parent Organization | GUTTENBERG MUNICIPAL HOSPITAL |
| NPI Enumeration Date | 10/10/2012 |
Related Entities
Other providers sharing the same authorized official: STAGMAN, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,476 |
$421K |
| 2019 |
6,178 |
$592K |
| 2020 |
6,169 |
$550K |
| 2021 |
7,116 |
$659K |
| 2022 |
6,212 |
$618K |
| 2023 |
6,328 |
$721K |
| 2024 |
4,999 |
$560K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,146 |
15,014 |
$4.12M |
| 99214 |
|
4,826 |
4,402 |
$4K |
| 99213 |
|
7,215 |
6,328 |
$668.72 |
| 90834 |
|
3,370 |
1,677 |
$291.93 |
| 3078F |
|
13 |
12 |
$220.00 |
| 87880 |
|
466 |
451 |
$17.04 |
| 87804 |
|
161 |
152 |
$17.04 |
| 99215 |
Prolong outpt/office vis |
229 |
219 |
$0.00 |
| 90833 |
|
63 |
61 |
$0.00 |
| 90715 |
|
21 |
21 |
$0.00 |
| 87502 |
|
352 |
335 |
$0.00 |
| 90460 |
|
394 |
386 |
$0.00 |
| 87811 |
|
80 |
75 |
$0.00 |
| 90837 |
|
355 |
217 |
$0.00 |
| 99394 |
|
275 |
271 |
$0.00 |
| 90734 |
|
85 |
84 |
$0.00 |
| 87634 |
|
34 |
32 |
$0.00 |
| 99392 |
|
62 |
62 |
$0.00 |
| 99393 |
|
86 |
86 |
$0.00 |
| 90791 |
|
16 |
15 |
$0.00 |
| 99212 |
|
12 |
12 |
$0.00 |
| 81003 |
|
27 |
25 |
$0.00 |
| 87651 |
|
932 |
873 |
$0.00 |
| 87635 |
|
971 |
906 |
$0.00 |
| 90471 |
|
104 |
102 |
$0.00 |
| 96110 |
|
12 |
12 |
$0.00 |
| 90792 |
|
27 |
26 |
$0.00 |
| 99202 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 94760 |
|
49 |
43 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
18 |
$0.00 |
| 96372 |
|
27 |
24 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |