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    OpenPayerNPI Medicare & MedicaidWashington County Hospital
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    Washington County Hospital — Billing Profile & Reimbursement Data

    NPI 1669802955 · Washington, IA · Rural Health Clinic/Center

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    Washington County Hospital is a rural health clinic/center provider located in Washington, Iowa. This profile covers 0 Medicare and 24 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
    OrganizationWashington County Hospital
    Address1230 S Iowa Ave
    CityWashington
    StateIA
    ZIP52353
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedNovember 22, 2013

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

    Payer SourceTotal Paid
    Medicaid$7M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive44,660$160$7M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…10,310$1$10.3K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…180$1$720
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…10$20$210
    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…30$0$0
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…40$0$0
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.130$0$0
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.70$0$0
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.550$0$0
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.40$0$0

    Showing 1–10 of 24

    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

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive323303,960$170$2.8M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…881,060480$40$154.5K
    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…751,310760$20$153.1K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…55170540$50$101.2K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…46190300$50$91.7K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.37180220$40$56.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…154210170$60$50.6K
    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…2242401,930$10$40.5K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.48250110$50$39.9K
    99203The provider sees a new 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 provider…282430110$50$36.1K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington County HospitalIARural Health Clinic/Center$0$4.1M
    Washington County HospitalIACritical Access Hospital$0$1.9M
    Luke BrunkhorstIAUrology Physician$220.8K$0
    Brent OvertonIAOrthopaedic Surgery Physician$185.5K$0
    Margaret EkrothIAUrology Physician$127.5K$0
    James HopsonIAClinical Cardiac Electrophysiology Physician$93.8K$0
    Philip HernandezNHCertified Registered Nurse Anesthetist$0$73.2K
    Nicole AlsakerIAAcute Care Nurse Practitioner$40.1K$0
    Meagan SquiersIAFamily Nurse Practitioner$24.6K$0
    Carly EastinIAEmergency Medicine Physician$21.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wcdc, Inc.IAProfessional Counselor$0$7.2M
    Washington Community SchoolIALocal Education Agency (LEA)$0$2M
    Pharmacy Relief Services, PLLCIACommunity/Retail Pharmacy$753.7K$71.2K
    County Of WashingtonIAAmbulance$362.1K$450.4K
    Hy-vee IncIACommunity/Retail Pharmacy$189.9K$106.3K
    Daniel GarnesIAGeriatric Physical Therapist$105.3K$0
    Timothy CourtneyIAOptometrist$90.7K$6.6K
    Kelli BrownIAChiropractor$17.8K$0
    Lauren BurchetteIANurse Practitioner$12.5K$0
    Ernest AjaxIANeurology Physician$4.5K$1.1K

    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
    Washington County Hospital — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa