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.

Planned Parenthood Of The Heartland, Inc (NPI 1144260027)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of The Heartland, Inc
Address	850 Orchard St
City	Iowa City
State	IA
ZIP	52246
Taxonomy	Non-Surgical Family Planning Clinic/Center
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S4993	Contraceptive pills for birth control	16,850	$50	$859.4K
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…	7,040	$60	$394.4K
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…	6,610	$40	$251K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	580	$420	$241.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	8,550	$30	$230.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,450	$50	$125.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	10,160	$10	$81.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,790	$30	$78.1K
86780	The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.	6,410	$10	$76.9K
86703	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for antibodies to HIV 1 or HIV 2. This code applies to a single result for either antibody.	6,060	$10	$72.7K

Showing 1–10 of 33

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

Planned Parenthood Of The Heartland, Inc — 12 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

33 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…	133	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…	209	1,310	760	$20	$153.1K
S4993	Contraceptive pills for birth control	1	10	320	$40	$134.5K
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.	97	170	320	$20	$119.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1	10	180	$280	$54.3K
99204	The provider sees a new 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 provider…	59	250	110	$80	$47.1K
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	1	10	2,760	$20	$46.8K
J7304	Contraceptive supply, hormone containing patch, each	1	10	480	$90	$42K
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…	103	430	110	$50	$36.1K
86780	The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.	3	30	310	$10	$19.1K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of The Heartland, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Huhmann	NE	Nurse Practitioner	$17.4K	$0
Kimberly Ward	NE	Nurse Practitioner	$5.1K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of The Heartland, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Successful Living	IA	Developmentally Disabled Services Day Training Agency	$0	$16.7M
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Chatham Oaks, Inc.	IA	Mental Illness Community Based Residential Treatment Facility	$0	$5.4M
Emerson Point Limited Partnership	IA	Assisted Living Facility	$0	$1.3M
Care Ambulance, LLC	IA	Ambulance	$505.3K	$518.7K
Ian Hui	IA	Optometrist	$33.4K	$21.5K
Christian Mann	IA	Family Medicine Physician	$20.2K	$21.2K
Therese Molloy	IA	Occupational Therapist	$17.4K	$0
James Myers	IA	Anesthesiology Physician	$6.9K	$0
Bradley Vanvoorhis	IA	Reproductive Endocrinology Physician	$2.2K	$0

Planned Parenthood Of The Heartland, Inc — Billing Profile & Reimbursement Data

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Planned Parenthood Of The Heartland, 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