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.

Jefferson County Hospital (NPI 1376648329)

Field	Value
Entity Type	Organization
Organization	Jefferson County Hospital
Address	2000 S Main St
City	Fairfield
State	IA
ZIP	52556
Taxonomy	Critical Access Hospital
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

95 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.	9,590	$60	$546.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	13,620	$30	$435.9K
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.	11,030	$30	$352.8K
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…	12,930	$30	$336.2K
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.	3,200	$100	$309.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,580	$40	$195.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	19,590	$10	$176.3K
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…	690	$250	$170.4K
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.	710	$240	$170.1K
0241U	N/A	600	$150	$86.9K

Showing 1–10 of 95

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

Jefferson County Hospital — 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

95 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	36	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.	74	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.	96	180	340	$170	$722K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	57	60	2,110	$70	$570.5K
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.	48	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.	35	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…	10	50	130	$320	$224.4K
U0003	Infectious 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…	22	60	210	$80	$186.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	19	20	180	$150	$147.4K
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.	71	80	110	$70	$135.7K

Showing 1–10 of 95

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County Hospital	IA	Rural Health Clinic/Center	$0	$15.5M
Atabak Kermani	KS	Geriatric Medicine (Family Medicine) Physician	$309.3K	$0
Christopher Vandelune	IA	Family Medicine Physician	$214.2K	$730
David Steinbronn	IA	Orthopaedic Surgery Physician	$208.5K	$0
Benjamin Maclennan	IA	Orthopaedic Surgery of the Spine Physician	$205.2K	$0
Nathan Nicholson	IA	Orthopaedic Surgery Physician	$198.9K	$0
Joseph Kurth	IA	Family Medicine Physician	$173.6K	$0
Robert Jackson	MO	Rheumatology Physician	$173.3K	$0
Daniel Olney	IA	Otolaryngology/Facial Plastic Surgery Physician	$166K	$0
Jayasheel Eshcol	MO	Interventional Cardiology Physician	$141.5K	$0

Nearby Providers

Other providers in the same ZIP code as Jefferson County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescare, Inc	IA	Community/Behavioral Health Agency	$0	$170.8M
Optimae Lifeservices, Inc	IA	Community/Behavioral Health Agency	$0	$111.5M
Optimae Lifeservices Inc	IA	Community/Behavioral Health Agency	$0	$40.4M
Optimae Lifeservices, Inc,	IA	Community/Behavioral Health Agency	$0	$9.5M
Fairfield C.s.d.	IA	Local Education Agency (LEA)	$0	$2.2M
Nurse In The House Inc.	IA	Home Health Agency	$0	$1.3M
Mason Ellis	IA	Physical Therapist	$92.7K	$0
Summit Pharmacy Of Iowa, Inc	IA	Community/Retail Pharmacy	$75.1K	$2.3K

Jefferson County Hospital — Billing Profile & Reimbursement Data

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Jefferson County 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

Related Providers

Nearby Providers

Frequently Asked Questions

References