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.

Southern Iowa Surgical Associates Inc (NPI 1104008150)

Field	Value
Entity Type	Organization
Organization	Southern Iowa Surgical Associates Inc
Address	707 S Main St
City	Centerville
State	IA
ZIP	52544
Taxonomy	Surgery Physician
NPI Enumerated	December 2, 2007

Payer Source	Total Paid
Medicaid	$996.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 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…	15,950	$30	$542.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	3,950	$40	$150K
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…	1,250	$70	$86K
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…	840	$50	$43K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	620	$70	$41.5K
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…	680	$60	$40.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	340	$80	$27.2K
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.	2,120	$10	$23.3K
99219	N/A	250	$50	$11.3K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	1,190	$10	$10.7K

Showing 1–10 of 32

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

Southern Iowa Surgical Associates Inc — 0 of 21 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	445	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…	113	1,310	760	$20	$153.1K
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…	79	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…	57	190	300	$50	$91.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	28	250	240	$30	$72.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	63	170	170	$40	$40.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	56	250	110	$50	$39.9K
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…	341	430	110	$50	$36.1K
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.	50	300	250	$10	$19.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	76	290	100	$40	$17.2K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Iowa Surgical Associates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Narendra Batra	IA	Surgery Physician	$40.2K	$0

Nearby Providers

Other providers in the same ZIP code as Southern Iowa Surgical Associates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerville Community Betterment Inc Zylpha Price House	IA	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Mercy Medical Center-centerville	IA	Rural Health Clinic/Center	$0	$5.2M
Paula S. Gordy Lisw, LLC	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4M
Happy Home Respite Services, LLC	IA	Community/Behavioral Health Agency	$0	$3.6M
Mercy Medical Center-centerville	IA	Critical Access Hospital	$0	$3.2M
Homestead Of Centerville Operations LLC	IA	Assisted Living Facility	$0	$1M
City Of Centerville	IA	Land Ambulance	$159.5K	$352.8K
Kathleen Lange	IA	Family Medicine Physician	$149K	$0
Ashley Klein-paisley	IA	Physical Medicine & Rehabilitation Physician	$103K	$0
Bailee Geitzenauer	IA	Family Nurse Practitioner	$102K	$0

Southern Iowa Surgical Associates Inc — Billing Profile & Reimbursement Data

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Southern Iowa Surgical Associates 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

Related Providers

Nearby Providers

Frequently Asked Questions

References