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    OpenPayerNPI Medicare & MedicaidStory County Hospital
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    Story County Hospital — Billing Profile & Reimbursement Data

    NPI 1215054713 · Nevada, IA · Critical Access Hospital

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    Story County Hospital is a critical access hospital provider located in Nevada, Iowa. This profile covers 0 Medicare and 40 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
    OrganizationStory County Hospital
    Address640 S 19th St
    CityNevada
    StateIA
    ZIP50201
    TaxonomyCritical Access Hospital
    NPI EnumeratedMarch 22, 2007

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

    Payer SourceTotal Paid
    Medicaid$2.1M
    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.6,410$110$730.6K
    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.1,660$210$345.3K
    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.3,370$100$327K
    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.6,300$50$315.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.6,760$10$60.8K
    99281The provider sees a patient for the lowest level emergency department visit.1,020$60$58.3K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3,140$10$37.7K
    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.1,620$20$27.5K
    J1885Injection, ketorolac tromethamine, per 15 mg490$50$24.5K
    A0425Ground mileage, per statute mile750$30$24.1K

    Showing 1–10 of 40

    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

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.105280850$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.162180340$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.603101,320$100$543.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.3890320$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…3550130$320$224.4K
    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…3560210$80$186.8K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)7990570$80$180.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,1761,310760$20$153.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6490170$70$134.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.107130480$30$120.3K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Story County HospitalIARural Health Clinic/Center$0$6.7M
    Stuart ChristensonIACardiovascular Disease Physician$240.1K$0
    Jason RasmussenIACardiovascular Disease Physician$194.7K$0
    Michael QuirkAZPhysician Assistant$150.5K$0
    Snehitha VijaykumarIAInterventional Cardiology Physician$141.7K$0
    Brian HauptsIAPhysician Assistant$53.4K$0
    Erin NelsonIAPodiatrist$53.3K$0
    Courtney HartbergIACertified Registered Nurse Anesthetist$51.4K$0
    Arriel WayneIACertified Registered Nurse Anesthetist$51.2K$0
    Laura JohnstonIACertified Registered Nurse Anesthetist$42.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pierre BernardIAFamily Medicine Physician$279.8K$0
    Perry RatheIAFamily Medicine Physician$187.1K$0
    Thomas JohnsonIAGastroenterology Physician$128K$0
    Kristian DuggerIAOptometrist$50.2K$35.5K
    Arthur CheckIAFamily Medicine Physician$6K$0

    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
    Story County Hospital — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa