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.

Allen Memorial Hospital Corporation (NPI 1346292521)

Allen Memorial Hospital Corporation is a emergency medicine physician provider located in Waterloo, Iowa. This profile covers 0 Medicare and 73 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	Allen Memorial Hospital Corporation
Address	1825 Logan Ave
City	Waterloo
State	IA
ZIP	50703
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,010	$80	$3M
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.	20,190	$110	$2.2M
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.	14,210	$50	$739.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14,530	$10	$101.7K
99214	The 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…	3,900	$20	$89.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,700	$30	$83.6K
74177	The 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.	1,180	$70	$77.7K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	2,670	$30	$69.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	7,270	$10	$58.1K
99291	Critical 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…	410	$100	$39.1K

Showing 1–10 of 73

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

Allen Memorial Hospital Corporation — 2 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

73 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	12	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.	11	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.	39	310	1,320	$100	$543.4K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	13	20	260	$170	$286.5K
93306	The 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…	24	40	900	$90	$249.3K
99214	The 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…	215	1,060	480	$40	$154.5K
99213	The 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…	425	1,310	760	$20	$153.1K
74177	The 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.	15	80	110	$70	$135.7K
99291	Critical 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…	11	30	190	$100	$131.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	15	70	130	$40	$86.7K

Showing 1–10 of 73

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allen Memorial Hospital Corporation	IA	General Acute Care Hospital	$0	$21.9M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Moab Valley Healthcare, Inc	UT	Critical Access Hospital	$0	$2.2M
Allen Memorial Hospital Corporation	IA	Women's Health Nurse Practitioner	$0	$2.1M
Stanley Mathew	IA	Physical Medicine & Rehabilitation Physician	$1.7M	$31.9K
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Shane Gagon	UT	Family Medicine Physician	$535.8K	$0
Harigovinda Challa	TN	Diagnostic Radiology Physician	$154.9K	$257.6K
Joud Dib	IA	Cardiovascular Disease Physician	$366.7K	$0
Kim Brandau	UT	Colon & Rectal Surgery Physician	$351.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoples Community Health Clinic, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$44.8M
Exceptional Persons Inc	IA	Mental Illness Community Based Residential Treatment Facility	$0	$17.2M
City Of Waterloo	IA	Land Ambulance	$525.8K	$15.3M
Bakari Behavioral Health Inc.	IA	Community/Behavioral Health Agency	$0	$6.1M
Iowa Northland Regional Transit Commission	IA	Bus	$0	$2.8M
North Iowa Juvenile Detention Services	IA	Mental Illness Community Based Residential Treatment Facility	$0	$2.3M
Open Arms Home Health Care - Waterloo, LLC	IA	Home Health Agency	$0	$1M
Himanshu Tandon	IA	Cardiovascular Disease Physician	$306.9K	$0
Frank Haugland	IA	Clinical Cardiac Electrophysiology Physician	$232.2K	$0
Paul Okhumale	IA	Clinical Cardiac Electrophysiology Physician	$205.8K	$0

Allen Memorial Hospital Corporation — 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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