Clinic
Shelby County Chris a Myrtue Memorial Hospital
Shelby County Chris a Myrtue Memorial Hospital was paid $6.23M by Medicaid between Jan 2018 and Dec 2024, across 43 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 infoSHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
HARLAN, IA 51537
HARLAN, IA 51537
33aNPI1992817886assigned 08/31/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.23M
24GClaims100,845
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#12 of 182
Median peer was paid$561K
This provider vs. median11×
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 | 12,600 | $741K | |
| 2019 | 14,392 | $793K | |
| 2020 | 13,259 | $752K | |
| 2021 | 15,114 | $943K | |
| 2022 | 16,391 | $1.04M | |
| 2023 | 16,619 | $1.02M | |
| 2024incomplete | 12,470 | $941K |
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% | 47,060 | 38,474 | $6.21M |
| 11721 | <1% | 612 | 582 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,740 | 3,625 | $4K |
| 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% | 27,139 | 23,282 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,702 | 2,319 | $3K |
| 90686 | <1% | 781 | 763 | $2K | |
| 90651 | <1% | 144 | 143 | $816.80 | |
| 90734 | <1% | 183 | 169 | $573.24 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,451 | 4,071 | $437.31 |
| 99307 | <1% | 463 | 456 | $325.51 | |
| 90710 | <1% | 95 | 91 | $213.70 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 30 | 29 | $162.00 |
31 more codes
| 90715 | <1% | 127 | $161.18 | |
| 90670 | <1% | 910 | $112.56 | |
| 90696 | <1% | 92 | $102.33 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 646 | $90.07 |
| 90648 | <1% | 270 | $82.47 | |
| 90473 | <1% | 51 | $78.72 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,810 | $67.47 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 890 | $61.24 |
| 90633 | <1% | 125 | $57.48 | |
| 90682 | <1% | 13 | $36.38 | |
| 90647 | <1% | 308 | $22.77 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,519 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 677 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,665 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 68 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 24 | $0.00 |
| 90681 | 0% | 30 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 36 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 155 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 15 | $0.00 |
| 90685 | 0% | 13 | $0.00 | |
| 17110 | 0% | 13 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90723 | 0% | 545 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $0.00 |
| 90474 | 0% | 15 | $0.00 | |
| 90656 | 0% | 59 | $0.00 | |
| 90680 | 0% | 256 | $0.00 | |
| 90677 | 0% | 33 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 40 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 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 officialJACOBSEN, BARRY (CEO)
Parent organizationSHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Shelby County Chris A. Myrtue Memorial Hospital | Harlan, IA | $3.36M |
| Shelby County Chris A. Myrtue Memorial Hospital | Harlan, IA | $2.94M |
| Shelby County Chris a Myrtue Memorial Hospital | Harlan, IA | $1.51M |
| Shelby County Chris a Myrtue Memorial Hospital | Shelby, IA | $489K |
| Shelby County Chris a Myrtue Memorial Hospital | Earling, IA | $396K |
| Shelby County Chris a Myrtue Memorial Hospital | Avoca, IA | $295K |
| Shelby County Chris a Myrtue Memorial Hospital | Elk Horn, IA | $66K |
| Shelby County Chris a Myrtue Memorial Hospital | Harlan, IA | $90.87 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.