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    OpenPayerNPI Medicare & MedicaidTrinity Regional Medical Center
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    Trinity Regional Medical Center — Billing Profile & Reimbursement Data

    NPI 1073594156 · Fort Dodge, IA · Emergency Medicine Physician

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    Trinity Regional Medical Center is a emergency medicine physician provider located in Fort Dodge, Iowa. This profile covers 0 Medicare and 75 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTrinity Regional Medical Center
    Address802 Kenyon Rd
    CityFort Dodge
    StateIA
    ZIP50501
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedNovember 7, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    75 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.23,070$80$1.8M
    99285The 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.9,970$110$1.1M
    99283The 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.12,930$50$659.3K
    99213The 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…6,440$30$193.2K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…2,080$70$149.7K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.1,080$130$138.8K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.1,550$90$133.1K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…760$130$94.5K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…440$120$53.1K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…2,050$20$39K

    Showing 1–10 of 75

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    75 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.23280850$140$801.8K
    99285The 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.25180340$170$722K
    99283The 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.433101,320$100$543.4K
    90834In 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…589680670$70$343.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…921201,100$30$162.6K
    99214The 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…5241,060480$40$154.5K
    99213The 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…2141,310760$20$153.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…1830190$100$131.9K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…420140$320$122.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.3060260$210$109.2K

    Showing 1–10 of 75

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Trinity Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Luke's Methodist HospitalIAGeneral Acute Care Hospital$0$36.2M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$16.5M
    Unity HealthcareIAGeneral Acute Care Hospital$0$12.7M
    Trinity Regional Medical CenterIAGeneral Acute Care Hospital$0$12.3M
    Northwest Iowa Hospital CorporationIAEmergency Medical Services (Emergency Medicine) Physician$0$7.9M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$5.7M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$5M
    St. Luke's Methodist HospitalIACardiovascular Disease Physician$0$3.9M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$3.8M
    Unitypoint At HomeILHome Health Agency$0$3.5M

    Nearby Providers

    Other providers in the same ZIP code as Trinity Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Central IndustriesIACommunity/Behavioral Health Agency$0$29.5M
    Community Health Center Of Fort Dodge Inc.IAFederally Qualified Health Center (FQHC)$0$23.6M
    Community And Family ResourcesIASubstance Abuse Rehabilitation Facility$0$21M
    North Central Iowa Mental Health Center IncIAMental Health Clinic/Center (Including Community Mental Health Center)$0$15.3M
    Community School DistrictIALocal Education Agency (LEA)$0$15.1M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$6.4M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$6.4M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$5.7M
    Fort Dodge Ywca Women's Halfway HouseIASubstance Abuse Rehabilitation Facility$0$5.7M
    Iowa Central IndustriesIACommunity/Behavioral Health Agency$0$4.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Trinity Regional Medical Center — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa