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    OpenPayerNPI Medicare & MedicaidClarke County Public Hospital
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    Clarke County Public Hospital — Billing Profile & Reimbursement Data

    NPI 1114954997 · Osceola, IA · Critical Access Hospital

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    Clarke County Public Hospital is a critical access hospital provider located in Osceola, Iowa. This profile covers 0 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationClarke County Public Hospital
    Address800 S Fillmore St
    CityOsceola
    StateIA
    ZIP50213
    TaxonomyCritical Access Hospital
    NPI EnumeratedJune 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.10,030$290$2.9M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.2,180$210$450.6K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.880$330$291.6K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.2,320$100$227K
    99281The provider sees a patient for the lowest level emergency department visit.1,080$210$224K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…80$2,710$203.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.4,280$40$158.2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…1,270$90$108.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1,580$50$71.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.7,740$10$69.7K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient54701,440$90$2.8M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.89280850$140$801.8K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.63180340$170$722K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1273101,320$100$543.4K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…510110$2,080$475.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.3290320$120$327.7K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…4750130$320$224.4K
    D2930N/A7880850$110$217.2K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…6160210$80$186.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.18170320$20$119.2K

    Showing 1–10 of 54

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Clarke County Public Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clarke County Public HospitalIARural Health Clinic/Center$0$4.5M
    Mark BurdtIARheumatology Physician$1.1M$0
    Amy HughesIAMedical Oncology Physician$167.1K$0
    Patrick ObenIAInternal Medicine Physician$127.5K$0
    Rachel BlaggIAPhysician Assistant$84.8K$0
    Archana VermaIAGastroenterology Physician$76.8K$0
    Nagendra MyneniIAGastroenterology Physician$74.9K$0
    Ahmar ButtIAPsychiatry Physician$49.6K$0
    Sarah SpringerIAFamily Nurse Practitioner$46.4K$0
    Mindy GingeryIAPsychiatric/Mental Health Nurse Practitioner$25.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Clarke County Public Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.2M
    Homestead Of Osceola Operations LLCIAAssisted Living Facility$0$2.4M
    Iowa Physicians Clinic Medical FoundationIARural Health Clinic/Center$0$867.1K
    David HoadleyIAOptometrist$74.8K$268.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Clarke County Public Hospital — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa