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.

St Luke's Jones Regional Medical Center (NPI 1275015208)

Field	Value
Entity Type	Organization
Organization	St Luke's Jones Regional Medical Center
Address	1795 Highway 64 E Ste 1
City	Anamosa
State	IA
ZIP	52205
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 6, 2018

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	26,430	$110	$2.8M
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…	5,660	$1	$5.7K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	70	$10	$520
3075F	No Summary found for this code	10	$0	$0
3079F	No Summary found for this code	10	$0	$0
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	490	$0	$0
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…	120	$0	$0
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…	60	$0	$0
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,…	190	$0	$0
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…	19,640	$0	$0

Showing 1–10 of 12

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

St Luke's Jones Regional Medical Center — 0 of 3 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	60	330	3,960	$170	$2.8M
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…	157	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…	90	1,310	760	$20	$153.1K
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…	268	430	110	$50	$36.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	215	300	250	$10	$19.6K
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…	81	200	80	$30	$9.5K
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,…	199	440	150	$10	$7.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	94	260	200	$10	$6.1K
J1885	Injection, ketorolac tromethamine, per 15 mg	48	120	100	$1	$2.3K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	46	80	100	$1	$750

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Luke's Jones Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.1M
St Luke's Jones Regional Medical Center	IA	Critical Access Hospital	$0	$1.5M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.5M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.4M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$995.3K
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$908K
John Wollner	IA	Dermatology Physician	$201.9K	$58.4K
David Puk	IA	Ophthalmology Physician	$242.9K	$940
Logan Hoxie	IA	Urology Physician	$231.1K	$0
Hisham Wagdy	IA	Interventional Cardiology Physician	$175.8K	$0

Nearby Providers

Other providers in the same ZIP code as St Luke's Jones Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anamosa Area Ambulance Service	IA	Land Ambulance	$134.2K	$92.5K
Josiah Ertz	IA	Physical Therapist	$32.3K	$0
Sally Meyer	IA	Physical Therapist	$11.6K	$0

St Luke's Jones Regional Medical Center — Billing Profile & Reimbursement Data

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St Luke's Jones Regional Medical 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