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.

Greater Sioux Community Health Center Inc. (NPI 1053582098)

Field	Value
Entity Type	Organization
Organization	Greater Sioux Community Health Center Inc.
Address	33 4th St Nw
City	Sioux Center
State	IA
ZIP	51250
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 18, 2008

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	28,740	$210	$5.9M
D9999	N/A	19,310	$190	$3.7M
D0999	N/A	6,500	$220	$1.4M
D0120	Periodic oral evaluation - established patient	10,100	$1	$30.3K
D2392	Post 2 surface resin‑based composite	3,690	$10	$29.5K
99213	The 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…	9,520	$1	$28.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,400	$1	$28.2K
D1120	Prophylaxis–child	6,620	$1	$26.5K
D2391	Resin‑based composite – one surface, posterior	2,200	$10	$17.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,500	$1	$16.5K

Showing 1–10 of 74

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

Greater Sioux Community Health Center Inc. — 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	52	330	3,960	$170	$2.8M
D9999	N/A	14	40	6,850	$180	$2.7M
D0999	N/A	15	30	6,470	$210	$1.8M
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…	251	680	670	$70	$343.5K
99214	The 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…	348	1,060	480	$40	$154.5K
99213	The 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…	160	1,310	760	$20	$153.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	333	610	550	$70	$145.9K
99391	Preventive 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…	54	170	540	$50	$101.2K
99392	Preventive 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…	43	190	300	$50	$91.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	37	170	330	$50	$88.3K

Showing 1–10 of 74

Nearby Providers

Other providers in the same ZIP code as Greater Sioux Community Health Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaitlin Hoogeveen	IA	Pediatric Dentistry	$0	$1.6M
Megan Struck	IA	Physical Therapist	$141.4K	$0
City Of Sioux Center - City Treasurer	IA	Ambulance	$98.5K	$0
Jon Clegg	IA	Certified Registered Nurse Anesthetist	$20.8K	$0

Greater Sioux Community Health Center Inc. — Billing Profile & Reimbursement Data

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Greater Sioux Community Health Center 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