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    OpenPayerNPI Medicare & MedicaidThe Iowa Clinic PC
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    The Iowa Clinic PC — Billing Profile & Reimbursement Data

    NPI 1346233178 · West Des Moines, IA · Family Medicine Physician

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    The Iowa Clinic PC is a family medicine physician provider located in West Des Moines, Iowa. This profile covers 0 Medicare and 107 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
    OrganizationThe Iowa Clinic PC
    Address5950 University Ave
    CityWest Des Moines
    StateIA
    ZIP50266
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 26, 2005

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

    Payer SourceTotal Paid
    Medicaid$5.4M
    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.

    107 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…21,410$30$578K
    99214The 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…17,110$30$564.5K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…5,550$90$516K
    99203The 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…6,520$60$404.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3,930$90$357.6K
    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…4,210$80$332.4K
    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…3,880$70$263.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…4,660$50$209.8K
    99204The provider sees a new 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 provider…1,990$90$179.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…1,770$90$164.8K

    Showing 1–10 of 107

    • 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

    107 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1140900$90$249.3K
    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…860210$80$186.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…361201,100$30$162.6K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1690740$60$155.6K
    99214The 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…441,060480$40$154.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.650170$410$153.8K
    99213The 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…811,310760$20$153.1K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.7480110$70$135.7K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…430190$100$131.9K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…520660$20$104.8K

    Showing 1–10 of 107

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Iowa Clinic PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    Gary HaynesIADiagnostic Radiology Physician$675.7K$0
    Nicholas SullivanIADiagnostic Radiology Physician$566.6K$0
    Eric ScottIAVascular Surgery Physician$561.5K$0
    Ian KochIADiagnostic Radiology Physician$559.4K$0
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K
    Musab AlqasrawiIAInterventional Cardiology Physician$406.4K$0
    Lucas GrobenIACardiovascular Disease Physician$386.1K$0
    Curtis MccartyIAAnatomic Pathology & Clinical Pathology Physician$358.5K$0
    Jun XuIAPain Medicine Physician$328.3K$0

    Nearby Providers

    Other providers in the same ZIP code as The Iowa Clinic PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Link AssociatesIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$83.3M
    Iowa Family Services, IncIACommunity/Behavioral Health Agency$0$9.9M
    Revell-warrington Dental PCIAPediatric Dentistry$0$9.2M
    CsaIACommunity/Behavioral Health Agency$0$8.8M
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    City Of West Des MoinesIALand Ambulance$726.2K$5.1M
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Wolfe Surgery Center, LLCIAAmbulatory Surgical Clinic/Center$4.1M$1.3M
    Iowa Home Care, LLCIAHome Health Agency$0$5.4M
    Divine Touch Of Iowa LLCIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.8M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    The Iowa Clinic PC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa