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.

Heartland Pathways Inc (NPI 1053824193)

Field	Value
Entity Type	Organization
Organization	Heartland Pathways Inc
Address	1626 Morgan St
City	Keokuk
State	IA
ZIP	52632
Taxonomy	Mental Health Counselor
NPI Enumerated	November 12, 2017

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	17,140	$80	$1.4M
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…	1,240	$80	$100.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	720	$100	$72.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	5,890	$1	$23.6K
90832	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…	530	$40	$23.1K
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…	170	$80	$12.9K

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

Heartland Pathways Inc — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	269	680	670	$70	$343.5K
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…	12	610	550	$70	$145.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	96	400	110	$100	$101.1K
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…	70	110	270	$70	$84.6K
90832	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…	141	280	530	$40	$80.1K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	10	140	400	$1	$5.7K

Nearby Providers

Other providers in the same ZIP code as Heartland Pathways Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$28.8M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Keokuk C.s.d.	IA	Local Education Agency (LEA)	$0	$5.1M
Counseling Associates, Inc	IA	Community/Behavioral Health Agency	$0	$4.6M
Keokuk Area Hospital	IA	General Acute Care Hospital	$0	$2.1M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.8M
Quincy Physicians & Surgeons Clinic, PLLC	IA	Rural Health Clinic/Center	$0	$1.4M
Air Evac Ems Inc	IA	Air Ambulance	$893.2K	$12.1K
William Schulte	IA	Family Medicine Physician	$221.9K	$190.4K
Hy-vee Inc	IA	Community/Retail Pharmacy	$174.6K	$43.5K

Heartland Pathways Inc — Billing Profile & Reimbursement Data

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Heartland Pathways 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