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    OpenPayerNPI Medicare & MedicaidAllen Memorial Hospital Corporation
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    Allen Memorial Hospital Corporation — Billing Profile & Reimbursement Data

    NPI 1336231091 · Waterloo, IA · General Acute Care Hospital

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    Allen Memorial Hospital Corporation is a general acute care hospital provider located in Waterloo, Iowa. This profile covers 0 Medicare and 177 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAllen Memorial Hospital Corporation
    Address1825 Logan Ave
    CityWaterloo
    StateIA
    ZIP50703
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedSeptember 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$21.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    177 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.27,020$230$6.1M
    99285The 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.12,230$300$3.7M
    99283The 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.23,220$150$3.5M
    G0463Hospital outpatient clinic visit for assessment and management of a patient19,250$70$1.3M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.8,380$120$1M
    0202UThis 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…2,510$320$810.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.64,460$10$709.1K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…8,890$80$684.4K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.17,600$30$580.8K
    0240UN/A3,290$120$408.3K

    Showing 1–10 of 177

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    177 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient10701,440$90$2.8M
    99284The 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.19280850$140$801.8K
    99285The 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.20180340$170$722K
    99283The 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.153101,320$100$543.4K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…610110$2,080$475.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1390320$120$327.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…2140900$90$249.3K
    0202UThis 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…550130$320$224.4K
    D2930N/A6480850$110$217.2K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…460210$80$186.8K

    Showing 1–10 of 177

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Allen Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allen Memorial Hospital CorporationIAEmergency Medicine Physician$0$6.9M
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Stanley MathewIAPhysical Medicine & Rehabilitation Physician$1.7M$31.9K
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Harigovinda ChallaTNDiagnostic Radiology Physician$154.9K$257.6K
    Joud DibIACardiovascular Disease Physician$366.7K$0
    Himanshu TandonIACardiovascular Disease Physician$306.9K$0
    Weiwei LiIAClinical Cardiac Electrophysiology Physician$280.6K$0
    Travis PetreeNDDiagnostic Radiology Physician$275.7K$0
    Sean FeinbergILDiagnostic Radiology Physician$243.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Allen Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peoples Community Health Clinic, Inc.IAFederally Qualified Health Center (FQHC)$0$44.8M
    Exceptional Persons IncIAMental Illness Community Based Residential Treatment Facility$0$17.2M
    City Of WaterlooIALand Ambulance$525.8K$15.3M
    Bakari Behavioral Health Inc.IACommunity/Behavioral Health Agency$0$6.1M
    Iowa Northland Regional Transit CommissionIABus$0$2.8M
    North Iowa Juvenile Detention ServicesIAMental Illness Community Based Residential Treatment Facility$0$2.3M
    Open Arms Home Health Care - Waterloo, LLCIAHome Health Agency$0$1M
    Frank HauglandIAClinical Cardiac Electrophysiology Physician$232.2K$0
    Paul OkhumaleIAClinical Cardiac Electrophysiology Physician$205.8K$0
    Robert BarteltIAOrthopaedic Surgery Physician$184.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Allen Memorial Hospital Corporation — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa