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.

Dubuque Internal Medicine PC (NPI 1295788214)

Field	Value
Entity Type	Organization
Organization	Dubuque Internal Medicine PC
Address	1500 Delhi St
City	Dubuque
State	IA
ZIP	52001
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	33,920	$50	$1.6M
J0606	Injection, etelcalcetide, 0.1 mg	1,010	$10	$14.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2,890	$1	$8.7K
J1756	Injection, iron sucrose, 1 mg	1,980	$1	$2K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	730	$1	$730
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	1,750	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	2,610	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	2,040	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	490	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	490	$0	$0

Showing 1–10 of 29

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

Dubuque Internal Medicine PC — 2 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	1	30	7,370	$50	$523.8K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1	10	400	$20	$13.8K
J1756	Injection, iron sucrose, 1 mg	10	20	1,210	$10	$11.3K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	20	30	70	$10	$8.8K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	9	40	300	$10	$7.7K
J0606	Injection, etelcalcetide, 0.1 mg	1	10	1,010	$10	$7.6K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	11	40	300	$10	$6.8K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	12	60	180	$10	$5.7K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	13	110	220	$1	$5.2K
86706	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody.	6	20	130	$10	$2.7K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dubuque Internal Medicine PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dubuque Internal Medicine PC	IA	Internal Medicine Physician	$0	$3.9M
Mark Hermann	IA	Hematology & Oncology Physician	$625.3K	$0
John Whalen	IA	Nephrology Physician	$300.8K	$0
Jennifer Schope	IA	Dermatology Physician	$232.8K	$0
David Ringold	IA	Nephrology Physician	$202.8K	$0
Hillard Salas	IA	Internal Medicine Physician	$199.7K	$0
Zhengjin Cao	IA	Internal Medicine Physician	$196.9K	$0
Cynthia Konz	IA	Internal Medicine Physician	$151.4K	$0
Benjamin Kumor	IA	Adult Medicine Physician	$148.9K	$0
Ronald Iverson	IA	Endocrinology, Diabetes & Metabolism Physician	$134.3K	$0

Nearby Providers

Other providers in the same ZIP code as Dubuque Internal Medicine PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hills And Dales Child Development Center	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$68.5M
Area Residential Care Inc.	IA	Intellectual Disabilities Intermediate Care Facility	$0	$32.8M
Hillcrest Family Services	IA	Child & Adolescent Psychiatry Physician	$0	$32.5M
Crescent Community Health Center	IA	Federally Qualified Health Center (FQHC)	$0	$29.5M
Dubuque Community School District	IA	Local Education Agency (LEA)	$0	$26.6M
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
City Of Dubuque	IA	Land Ambulance	$690.9K	$8.9M
Hillcrest Family Services	IA	Social Worker	$0	$7.1M
Mercy Medical Center-dubuque	IA	General Acute Care Hospital	$0	$5.2M
Hills And Dales Child Development Center	IA	Intellectual Disabilities Intermediate Care Facility	$0	$4.7M

Dubuque Internal Medicine PC — Billing Profile & Reimbursement Data

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Dubuque Internal Medicine PC — 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