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.

Hamilton County Public Hospital (NPI 1295702397)

Hamilton County Public Hospital is a critical access hospital provider located in Webster City, Iowa. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hamilton County Public Hospital
Address	2350 Hospital Drive
City	Webster City
State	IA
ZIP	50595
Taxonomy	Critical Access Hospital
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,140	$150	$617.2K
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.	1,330	$200	$270.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,200	$70	$214.5K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	140	$1,530	$206.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	4,990	$30	$139.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,380	$20	$57.2K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	320	$150	$46.6K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	490	$60	$30.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	740	$40	$30.3K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	240	$60	$14.3K

Showing 1–10 of 45

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

Hamilton County Public Hospital — 0 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	312	330	3,960	$170	$2.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	65	70	1,440	$90	$2.8M
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.	117	280	850	$140	$801.8K
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.	172	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.	91	310	1,320	$100	$543.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	62	90	320	$120	$327.7K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	42	50	130	$320	$224.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	10	140	$760	$148.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	59	70	180	$60	$101.5K
A0425	Ground mileage, per statute mile	151	160	730	$20	$60.8K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton County Public Hospital	IA	Rural Health Clinic/Center	$0	$8.9M
Venkatesh Rudrapatna	IA	Hematology & Oncology Physician	$3.4M	$0
Angela Sandre	IA	Medical Oncology Physician	$987.4K	$0
Kyle Ulveling	IA	Cardiovascular Disease Physician	$325.1K	$0
Suhas Bhat	IA	Interventional Cardiology Physician	$324.1K	$0
Rakshak Sarda	IA	Cardiovascular Disease Physician	$320.7K	$0
Sumit Sehgal	IA	Cardiovascular Disease Physician	$302.2K	$0
Lindsey Grandbois	IA	Diagnostic Radiology Physician	$225.7K	$3.1K
Mohit Chawla	IA	Clinical Cardiac Electrophysiology Physician	$214.1K	$0
Jason Meyers	IA	Clinical Cardiac Electrophysiology Physician	$211.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Recovery	IA	Community/Behavioral Health Agency	$0	$3.7M
Hamilton County Social Services	IA	Developmentally Disabled Services Day Training Agency	$0	$2.5M
Angela Olerich	IA	Family Medicine Physician	$232.3K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$139.7K	$43K
James Tesdahl	IA	Optometrist	$80K	$26.8K
Nicholas Thilges	IA	Physical Therapist	$100.3K	$0
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$76.4K	$2.3K
Christina Rider	IA	Physician Assistant	$21.4K	$0
Kari Patten	IA	Physician Assistant	$11.5K	$0

Hamilton County Public Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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