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.

Community Health Services Of Marion County (NPI 1285709964)

Field	Value
Entity Type	Organization
Organization	Community Health Services Of Marion County
Address	104 S 6th St
City	Knoxville
State	IA
ZIP	50138
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$864.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0451	Development testing, with interpretation and report, per standardized instrument form	3,230	$60	$190.3K
D0190	N/A	13,330	$10	$186.6K
D1351	Sealant - per tooth	3,500	$40	$150.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12,450	$10	$149.4K
D1330	N/A	8,470	$10	$118.6K
99174	The provider uses instruments to conduct a vision screening exam on both eyes. The procedure includes analysis and report.	2,210	$10	$24.3K
D0602	N/A	11,670	$1	$11.7K
H1003	Prenatal care, at-risk enhanced service; education	160	$60	$10.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	270	$20	$5.5K
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.	330	$20	$4.9K

Showing 1–10 of 21

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

Community Health Services Of Marion County — 3 of 17 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	82	170	320	$20	$119.2K
H0046	Mental health services, not otherwise specified	21	30	520	$80	$108.7K
G0451	Development testing, with interpretation and report, per standardized instrument form	3	20	750	$60	$92K
H1003	Prenatal care, at-risk enhanced service; education	16	20	490	$70	$89.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	116	250	240	$30	$72.7K
D0190	N/A	7	50	1,210	$20	$64.9K
D1351	Sealant - per tooth	41	190	750	$20	$60.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	25	630	500	$10	$33.3K
D1330	N/A	5	80	310	$10	$18.2K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	35	80	270	$10	$17K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Community Health Services Of Marion County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestead Of Knoxville Operations LLC	IA	Assisted Living Facility	$0	$3.2M
Knoxville Community Hospital Inc	IA	Critical Access Hospital	$0	$1.3M
City Of Knoxville	IA	Land Ambulance	$206K	$829.5K
Knoxville Community Hospital Inc	IA	Family Medicine Physician	$0	$900.3K
Jenny Slykhuis-mcdowell	IA	Chiropractor	$40.3K	$0
Earl Williams	IA	Certified Registered Nurse Anesthetist	$33.6K	$0
Shannon Remington	IA	Family Medicine Physician	$1.3K	$0

Community Health Services Of Marion County — Billing Profile & Reimbursement Data

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Community Health Services Of Marion County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References