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.

The Childserve Clinic Inc (NPI 1033449145)

The Childserve Clinic Inc is a pediatrics physician provider located in Johnston, Iowa. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	The Childserve Clinic Inc
Address	5406 Merle Hay Rd
City	Johnston
State	IA
ZIP	50131
Taxonomy	Pediatrics Physician
NPI Enumerated	January 12, 2010

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,560	$70	$895.2K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5,750	$150	$868.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	7,400	$70	$532.9K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	680	$660	$448.1K
J0585	Injection, onabotulinumtoxina, 1 unit	520	$830	$433.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,700	$100	$278.5K
99215	The 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…	2,020	$60	$127.3K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	1,420	$90	$126.6K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	1,600	$70	$105.7K
G9012	Other specified case management service not elsewhere classified	770	$130	$97.5K

Showing 1–10 of 32

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

The Childserve Clinic Inc — 3 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	7	10	4,450	$130	$2.1M
G9012	Other specified case management service not elsewhere classified	7	10	1,490	$120	$827.1K
J0585	Injection, onabotulinumtoxina, 1 unit	8	20	380	$700	$687.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	55	680	670	$70	$343.5K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	4	10	200	$150	$266.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2	10	340	$60	$251.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	10	10	970	$150	$226.6K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	4	10	1,420	$100	$204.6K
J0475	Injection, baclofen, 10 mg	2	10	140	$500	$187.2K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	2	10	640	$350	$182.8K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childserve Community Options, Inc.	IA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$47.6M
Diabetic Equipment And Supplies LLC	IA	Customized Equipment (DME)	$0	$42.3M
Creative Community Options Inc	IA	Day Training/Habilitation Specialist	$0	$41.5M
Johnston Csd	IA	Local Education Agency (LEA)	$0	$13.9M
Childserve Homes Inc.	IA	Mental Illness Intermediate Care Facility	$0	$10M
Youth Homes Of Mid-america	IA	Rehabilitation Clinic/Center	$0	$9.4M
Childserve Therapy, Inc.	IA	Physical Therapist	$0	$4.5M
Goodwill Industries Of Central Iowa	IA	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Childserve Medical Equipment & Supply Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Mending Minds, LLC	IA	Psychiatric/Mental Health Nurse Practitioner	$0	$2.5M

The Childserve Clinic Inc — Billing Profile & Reimbursement Data

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The Childserve Clinic Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References