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.

Northwest Iowa Hospital Corporation (NPI 1215962550)

Field	Value
Entity Type	Organization
Organization	Northwest Iowa Hospital Corporation
Address	2720 Stone Park Blvd
City	Sioux City
State	IA
ZIP	51104
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

74 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.	43,970	$80	$3.4M
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.	17,390	$120	$2M
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.	18,890	$50	$1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29,410	$10	$205.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,010	$70	$132.5K
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…	3,850	$30	$100K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,520	$40	$88K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	770	$90	$71.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	2,510	$30	$67.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	7,540	$10	$60.3K

Showing 1–10 of 74

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

Northwest Iowa Hospital Corporation — 2 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	7	280	850	$140	$801.8K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	10	160	$340	$728.1K
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.	14	180	340	$170	$722K
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.	28	310	1,320	$100	$543.4K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	10	330	$120	$539.5K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6	10	310	$110	$328.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	15	20	260	$170	$286.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16	40	900	$90	$249.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	78	120	1,100	$30	$162.6K
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…	220	1,060	480	$40	$154.5K

Showing 1–10 of 74

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Iowa Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Washington Hospital Inc.	VA	General Acute Care Hospital	$0	$80.1M
Northwest Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$22.8M
Trinity Regional Medical Center	IA	General Acute Care Hospital	$0	$12.3M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Trinity Regional Medical Center	IA	Emergency Medicine Physician	$0	$4.6M
Donald Wender	IA	Hematology & Oncology Physician	$2.6M	$0
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.5M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.2M
Nibash Budhathoki	MO	Hematology & Oncology Physician	$2.2M	$0
Lisa Chaiken	CA	Radiation Oncology Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Iowa Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simple Life, Inc.	IA	Community/Behavioral Health Agency	$0	$5.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$5M
Opportunities Unlimited	IA	Child Mental Illness Respite Care	$0	$2.8M
Anesthesia Consultants PC	IA	Anesthesiology Physician	$0	$1.9M
Siouxland Dental Health	IA	Dentist	$0	$1.8M
Pierce Street Same Day Surgery, Lc	IA	Ambulatory Surgical Clinic/Center	$633.9K	$1.1M
Siouxland Medical Education Foundation, Inc	IA	Family Medicine Physician	$0	$1.3M
Siouxland Hospitalists PLLC	IA	Internal Medicine Physician	$0	$1.1M
Family Service's Inc	IA	Psychiatry Physician	$0	$1.1M
Pathology Medical Services Of Siouxland PC	IA	Anatomic Pathology & Clinical Pathology Physician	$0	$1M

Northwest Iowa Hospital Corporation — Billing Profile & Reimbursement Data

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Northwest Iowa Hospital Corporation — 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