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 Finley Hospital (NPI 1073560462)

Field	Value
Entity Type	Organization
Organization	The Finley Hospital
Address	350 N Grandview Ave
City	Dubuque
State	IA
ZIP	52001
Taxonomy	Family Medicine Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,820	$30	$1.1M
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…	11,290	$40	$496.9K
99203	The provider sees a new 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 provider…	2,460	$60	$150K
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.	7,710	$10	$100.2K
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.	2,290	$10	$32K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,170	$10	$14.1K
0001A	N/A	330	$30	$9.5K
0002A	N/A	270	$40	$9.4K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	170	$60	$9.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	260	$30	$8.2K

Showing 1–10 of 36

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 Finley Hospital — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	29	40	900	$90	$249.3K
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…	74	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…	40	1,310	760	$20	$153.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	60	90	320	$40	$58.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	16	50	400	$80	$58.1K
Q3014	Telehealth originating site facility fee	69	80	320	$20	$56.1K
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…	141	210	170	$60	$50.6K
99204	The provider sees a new 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 provider…	147	250	110	$80	$47.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	112	180	230	$10	$44.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	47	110	400	$10	$44.3K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Finley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
The Finley Hospital	IA	Emergency Medicine Physician	$0	$3.9M
Mark Hermann	IA	Hematology & Oncology Physician	$625.3K	$0
Jonathan Rippentrop	IA	Urology Physician	$487.4K	$0
Jessica Parkhurst	IA	Radiation Oncology Physician	$395.3K	$0
Thomas Richardson	IA	Urology Physician	$373K	$0
David Lawrence	IA	Vascular Surgery Physician	$284.6K	$0
Candace Correa	IA	Radiation Oncology Physician	$277K	$4.6K
Weiwei Li	IA	Clinical Cardiac Electrophysiology Physician	$280.6K	$0
Tauseef Khan	IA	Cardiovascular Disease Physician	$230.3K	$0

Nearby Providers

Other providers in the same ZIP code as The Finley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hills And Dales Child Development Center	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$68.5M
Area Residential Care Inc.	IA	Intellectual Disabilities Intermediate Care Facility	$0	$32.8M
Hillcrest Family Services	IA	Child & Adolescent Psychiatry Physician	$0	$32.5M
Crescent Community Health Center	IA	Federally Qualified Health Center (FQHC)	$0	$29.5M
Dubuque Community School District	IA	Local Education Agency (LEA)	$0	$26.6M
City Of Dubuque	IA	Land Ambulance	$690.9K	$8.9M
Hillcrest Family Services	IA	Social Worker	$0	$7.1M
Mercy Medical Center-dubuque	IA	General Acute Care Hospital	$0	$5.2M
Hills And Dales Child Development Center	IA	Intellectual Disabilities Intermediate Care Facility	$0	$4.7M
Dubuque Internal Medicine PC	IA	Internal Medicine Physician	$0	$3.9M

The Finley Hospital — Billing Profile & Reimbursement Data

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The Finley 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

Related Providers

Nearby Providers

Frequently Asked Questions

References