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.

Southeast Iowa Regional Medical Center, Inc. (NPI 1134168263)

Field	Value
Entity Type	Organization
Organization	Southeast Iowa Regional Medical Center, Inc.
Address	1221 S Gear Ave
City	West Burlington
State	IA
ZIP	52655
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

188 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	30,060	$220	$6.5M
99283	The 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.	42,320	$140	$6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26,910	$80	$2.2M
99285	The 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.	4,620	$310	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,780	$110	$1.2M
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.	2,490	$170	$417.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	8,030	$40	$345.3K
0241U	N/A	3,570	$90	$313.9K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	7,170	$40	$301K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	60	$4,950	$286.9K

Showing 1–10 of 188

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

Southeast Iowa Regional Medical Center, Inc. — 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

188 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	70	1,440	$90	$2.8M
99284	The 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.	16	280	850	$140	$801.8K
99285	The 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.	42	180	340	$170	$722K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	37	60	2,110	$70	$570.5K
99283	The 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.	4	310	1,320	$100	$543.4K
90834	In 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…	671	680	670	$70	$343.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6	90	320	$120	$327.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	12	60	210	$80	$186.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	53	90	740	$60	$155.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	21	50	170	$410	$153.8K

Showing 1–10 of 188

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Southeast Iowa Regional Medical Center, Inc.	IA	General Practice Physician	$0	$12.3M
Raymond Smith	IL	Hematology & Oncology Physician	$1.5M	$54.4K
Muhammad Ali	IL	Hematology & Oncology Physician	$1.2M	$64.9K
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Christian Khoury	IL	Hematology & Oncology Physician	$746.8K	$19.7K
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Michael Abouassaly	IA	Family Medicine Physician	$275K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of Southeastern Iowa Inc	IA	Federally Qualified Health Center (FQHC)	$0	$35.3M
Community Health Center Of Seia, Inc	IA	Dentist	$0	$3.7M
Burlington Pediatric Association, P.C.	IA	Pediatrics Physician	$0	$1.8M
Burlington Neurology And Sleep Clinic, Plc	IA	Neurology Physician	$0	$1.2M
Burlington Ear Nose & Throat Clinic PC	IA	Otolaryngology Physician	$0	$907.7K
Aneesh Neekhra	IA	Neurology Physician	$210.9K	$234.4K
Douglas Henrich	IA	Otolaryngology Physician	$198.1K	$101.9K
Eric O'brien	IA	Optometrist	$45.6K	$204.5K
Louis Kantzavelos	IA	Urology Physician	$213.8K	$0
Amy John	IA	Physician Assistant	$207.5K	$0

Southeast Iowa Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

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Southeast Iowa Regional Medical Center, 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