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.

Lee County Auditor (NPI 1104996917)

Field	Value
Entity Type	Organization
Organization	Lee County Auditor
Address	3 John Bennett Drive
City	Fort Madison
State	IA
ZIP	52627
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$963.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,920	$20	$238.8K
D0190	N/A	13,970	$20	$237.5K
D1351	Sealant - per tooth	5,880	$30	$152.8K
G0451	Development testing, with interpretation and report, per standardized instrument form	1,970	$60	$110.3K
D1330	N/A	5,100	$20	$81.6K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	2,290	$20	$36.6K
D1310	N/A	2,060	$20	$35K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,230	$20	$33.4K
D0602	N/A	12,120	$1	$12.1K
D0145	N/A	560	$20	$10.1K

Showing 1–10 of 17

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

Lee County Auditor — 1 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	49	170	320	$20	$119.2K
G0451	Development testing, with interpretation and report, per standardized instrument form	7	20	750	$60	$92K
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.	133	250	240	$30	$72.7K
D0190	N/A	5	50	1,210	$20	$64.9K
D1351	Sealant - per tooth	26	190	750	$20	$60.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15	630	500	$10	$33.3K
D1330	N/A	12	80	310	$10	$18.2K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	11	80	270	$10	$17K
D1310	N/A	9	40	180	$10	$14.1K
D0145	N/A	16	60	150	$20	$10.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Lee County Auditor, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Madison C.s.d.	IA	Local Education Agency (LEA)	$0	$1.1M
Mark Reynolds	IA	Ophthalmology Physician	$952.3K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$180.6K	$32.3K
Derek Vogelpohl	IA	Optometrist	$89.2K	$49.5K
Walgreen Co	IA	Pharmacy	$100K	$5.8K
Heather Perry	IA	Foot & Ankle Surgery Podiatrist	$104.3K	$0
Nelson Pharmacy Consulting Services, Plc	IA	Community/Retail Pharmacy	$89.5K	$1.3K
Ruth Barosy	IA	Family Medicine Physician	$86.1K	$0
Mark Saathoff	IA	Podiatrist	$73.3K	$11.9K
Kyle Gibson	IA	Physician Assistant	$62.1K	$0

Lee County Auditor — Billing Profile & Reimbursement Data

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Lee County Auditor — Billing Profile & Reimbursement Data

Sign up for Lee County Auditor — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References