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.

State University Of Iowa (NPI 1114905387)

Field	Value
Entity Type	Organization
Organization	State University Of Iowa
Address	200 Hawkins Drive
City	Iowa City
State	IA
ZIP	52242
Taxonomy	Dentist
NPI Enumerated	January 6, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43,350	$60	$2.5M
D7240	N/A	3,680	$250	$908K
D9222	N/A	5,970	$100	$585.2K
D9223	N/A	4,770	$80	$391K
D0140	Limited oral evaluation – problem focused	11,290	$30	$282.3K
D7230	N/A	1,480	$180	$272.7K
D9310	N/A	6,190	$40	$222.7K
D0330	N/A	3,090	$40	$111.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,430	$40	$97.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	730	$100	$70.5K

Showing 1–10 of 25

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

State University Of Iowa — 5 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	3	20	180	$220	$228.7K
D7230	N/A	3	10	300	$190	$169.9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	18	40	310	$100	$162.7K
D9223	N/A	2	30	360	$80	$89.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	170	330	$50	$88.3K
D9222	N/A	1	30	210	$90	$77.4K
D2392	Post 2 surface resin‑based composite	174	210	230	$60	$58.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	81	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	160	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	201	830	530	$20	$34.1K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with State University Of Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State University Of Iowa	IA	Family Medicine Physician	$0	$103.8M
State University Of Iowa	IA	General Acute Care Hospital	$0	$90.4M
State University Of Iowa	IA	Dentist	$0	$25.8M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
State University Of Iowa	IA	Psychologist	$0	$4.6M
Mission Cancer And Blood, PLLC	IA	Hematology & Oncology Physician	$0	$2.8M
Mercy Services Iowa City, Inc.	IA	Multi-Specialty Clinic/Center	$0	$2.4M
Bradley Hiatt	IA	Medical Oncology Physician	$2.2M	$0
State University Of Iowa	IA	Clinical Medical Laboratory	$1.5K	$1.9M

Nearby Providers

Other providers in the same ZIP code as State University Of Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Annalee Fencl	IA	Student in an Organized Health Care Education/Training Program	$0	$2.5M
Brandon Syme	IA	General Practice Dentistry	$0	$1.3M
Lorna Grant	IA	Ophthalmology Physician	$1.2M	$0
State University Of Iowa	IA	Clinical Medical Laboratory	$163K	$338.8K
Tyler Risma	IA	Ophthalmology Physician	$423.2K	$0
Jessica Parkhurst	IA	Radiation Oncology Physician	$395.3K	$0
Amith George Jacob	IA	Critical Care Medicine (Internal Medicine) Physician	$178.2K	$216.1K
Leslie Christenson	IA	MOHS-Micrographic Surgery Physician	$354.2K	$0
Oluwaseun Adeola	IA	Clinical Cardiac Electrophysiology Physician	$345K	$0
Andrew Pugely	IA	Orthopaedic Surgery of the Spine Physician	$327.4K	$0

State University Of Iowa — Billing Profile & Reimbursement Data

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State University Of Iowa — 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