Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mercy Medical Center-newton (NPI 1003296179)

Field	Value
Entity Type	Organization
Organization	Mercy Medical Center-newton
Address	204 N 4th Ave E
City	Newton
State	IA
ZIP	50208
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 4, 2015

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The 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.	15,170	$150	$2.2M
99285	The 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.	2,030	$330	$659.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,850	$130	$356.1K
99284	The 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.	490	$290	$142.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,010	$50	$49.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	1,090	$40	$41.5K
0241U	N/A	440	$90	$37.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	350	$90	$29.6K
99281	The provider sees a patient for the lowest level emergency department visit.	420	$50	$22.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	170	$130	$21.6K

Showing 1–10 of 51

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Mercy Medical Center-newton — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	48	70	1,440	$90	$2.8M
99284	The 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.	159	280	850	$140	$801.8K
99285	The 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.	55	180	340	$170	$722K
99283	The 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.	33	310	1,320	$100	$543.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	22	90	320	$120	$327.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	63	80	110	$70	$135.7K
97530	The 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.	82	130	480	$30	$120.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	35	70	180	$60	$101.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	55	70	130	$40	$86.7K
0241U	N/A	27	80	290	$110	$85.1K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Medical Center-newton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Christian Schultheis	IA	Medical Oncology Physician	$1.5M	$0
Allison Dunne	WI	Physician Assistant	$1.4M	$0
Trevor Schmitz	IA	Orthopaedic Surgery of the Spine Physician	$391.9K	$0
Mark Matthes	IA	Orthopaedic Surgery Physician	$376.1K	$0
Daniel Buroker	IA	Medical Oncology Physician	$345.1K	$0
Paige Goff	IA	Physician Assistant	$260.4K	$1.3K
Brett Rosenthal	IA	Orthopaedic Surgery Physician	$170.3K	$0
Christopher Vincent	IA	Orthopaedic Surgery Physician	$94.2K	$0
Eric Dolash	IA	Physician Assistant	$87.5K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Medical Center-newton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Progress Industries	IA	Day Training/Habilitation Specialist	$0	$53M
Capstone Behavioral Healthcare, Inc	IA	Community/Behavioral Health Agency	$0	$17M
Newton Clinic PC	IA	Family Medicine Physician	$0	$3.3M
Newton C.s.d.	IA	Local Education Agency (LEA)	$0	$3.3M
City Of Newton	IA	Land Ambulance	$266.1K	$2.3M
Integrated Treatment Services LLC	IA	Community/Behavioral Health Agency	$0	$1.4M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$1.3M
Hy-vee Inc	IA	Community/Retail Pharmacy	$191.8K	$118.9K
Orville Bunker	IA	Family Medicine Physician	$203.5K	$0
Tze Chan	IA	Internal Medicine Physician	$193.7K	$0

Mercy Medical Center-newton — Billing Profile & Reimbursement Data

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Mercy Medical Center-newton — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References