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.

Waverly Health Center (NPI 1255659124)

Field	Value
Entity Type	Organization
Organization	Waverly Health Center
Address	312 9th St Sw
City	Waverly
State	IA
ZIP	50677
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 17, 2010

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	10,390	$340	$3.5M
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…	1,100	$10	$5.5K
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…	490	$10	$4.4K
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…	640	$1	$2.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	220	$1	$430
0502F	No Summary found for this code	1,310	$0	$0
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.	60	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	320	$0	$0
99459	The provider performs a pelvic exam on a patient in conjunction with an evaluation and management service.	20	$0	$0

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

Waverly Health Center — 0 of 5 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	101	330	3,960	$170	$2.8M
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…	384	680	670	$70	$343.5K
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…	404	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…	692	1,310	760	$20	$153.1K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	80	180	220	$40	$56.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	210	170	$60	$50.6K
0502F	No Summary found for this code	6	20	200	$1	$6.8K
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.	88	130	220	$1	$3K
99459	The provider performs a pelvic exam on a patient in conjunction with an evaluation and management service.	6	10	20	$1	$30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Waverly Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waverly Health Center	IA	Rural Health Clinic/Center	$0	$3.4M
Barbara Burkle	IA	Nurse Practitioner	$717.8K	$0
Robert Bartelt	IA	Orthopaedic Surgery Physician	$184.8K	$0
Jayson Gesme	IA	Surgery Physician	$170.1K	$0
Timothy Mulholland	IA	Urology Physician	$130.4K	$0
Moaz Sial	IA	Gastroenterology Physician	$79.8K	$0
Tracy Elliott	IA	Nurse Practitioner	$72.5K	$0
Cary Rose	FL	Clinical Cardiac Electrophysiology Physician	$64.5K	$0
Levi Dahle	IA	Certified Registered Nurse Anesthetist	$38.8K	$0
Jon Clinton	IA	Certified Registered Nurse Anesthetist	$36.7K	$0

Nearby Providers

Other providers in the same ZIP code as Waverly Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$9.9M
County Of Bremer	IA	Developmentally Disabled Services Day Training Agency	$0	$8.9M
The Larrabee Center, In.c	IA	Community/Behavioral Health Agency	$0	$2.2M
Unitypoint Health - Marshalltown	IA	Rural Health Clinic/Center	$0	$1.4M
Waverly Shell Rock Community School District	IA	Local Education Agency (LEA)	$0	$1M
Hy-vee Inc	IA	Community/Retail Pharmacy	$221.1K	$16.1K
Eric Newsom	IA	Occupational Therapist	$130.4K	$0
Seonhee Baik	IA	Occupational Therapist	$130.2K	$0
Walmart Inc.	IA	Community/Retail Pharmacy	$112.2K	$0
Mackenzie Lemke	IA	Speech-Language Pathologist	$9.1K	$0

Waverly Health Center — Billing Profile & Reimbursement Data

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Waverly Health Center — 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