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.

Washington County Hospital (NPI 1053305326)

Washington County Hospital is a critical access hospital provider located in Washington, Iowa. This profile covers 0 Medicare and 56 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	Washington County Hospital
Address	400 E Polk St
City	Washington
State	IA
ZIP	52353
Taxonomy	Critical Access Hospital
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

56 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.	5,400	$60	$302.2K
80053	The 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.	4,720	$50	$226.6K
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.	2,960	$80	$225.3K
87426	The 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,…	4,760	$50	$219.1K
85025	A 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…	8,090	$30	$218.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	11,450	$10	$137.4K
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.	1,070	$120	$129.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	3,360	$30	$104K
87804	The 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.	5,140	$10	$66.8K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	1,030	$50	$51.6K

Showing 1–10 of 56

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

Washington County Hospital — 2 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	78	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.	61	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.	72	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.	44	90	320	$120	$327.7K
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.	37	70	180	$60	$101.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	52	60	300	$30	$71.8K
99282	The 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.	106	180	290	$70	$66.9K
80053	The 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.	49	180	1,660	$10	$58.8K
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…	34	80	140	$40	$55.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	60	130	120	$80	$52.1K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Hospital	IA	Rural Health Clinic/Center	$0	$7M
Washington County Hospital	IA	Rural Health Clinic/Center	$0	$4.1M
Luke Brunkhorst	IA	Urology Physician	$220.8K	$0
Brent Overton	IA	Orthopaedic Surgery Physician	$185.5K	$0
Margaret Ekroth	IA	Urology Physician	$127.5K	$0
James Hopson	IA	Clinical Cardiac Electrophysiology Physician	$93.8K	$0
Philip Hernandez	NH	Certified Registered Nurse Anesthetist	$0	$73.2K
Nicole Alsaker	IA	Acute Care Nurse Practitioner	$40.1K	$0
Meagan Squiers	IA	Family Nurse Practitioner	$24.6K	$0
Carly Eastin	IA	Emergency Medicine Physician	$21.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wcdc, Inc.	IA	Professional Counselor	$0	$7.2M
Washington Community School	IA	Local Education Agency (LEA)	$0	$2M
Pharmacy Relief Services, PLLC	IA	Community/Retail Pharmacy	$753.7K	$71.2K
County Of Washington	IA	Ambulance	$362.1K	$450.4K
Hy-vee Inc	IA	Community/Retail Pharmacy	$189.9K	$106.3K
Daniel Garnes	IA	Geriatric Physical Therapist	$105.3K	$0
Timothy Courtney	IA	Optometrist	$90.7K	$6.6K
Kelli Brown	IA	Chiropractor	$17.8K	$0
Lauren Burchette	IA	Nurse Practitioner	$12.5K	$0
Ernest Ajax	IA	Neurology Physician	$4.5K	$1.1K

Washington County Hospital — Billing Profile & Reimbursement Data

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Washington County Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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