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.

Advanced Spine And Rehab Center PC (NPI 1386785293)

Advanced Spine And Rehab Center PC is a family medicine physician provider located in Cedar Rapids, Iowa. This profile covers 0 Medicare and 23 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	Advanced Spine And Rehab Center PC
Address	4205 Glass Rd Ne
City	Cedar Rapids
State	IA
ZIP	52402
Taxonomy	Family Medicine Physician
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	19,870	$20	$417.2K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	4,390	$50	$206.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	7,800	$30	$195.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,720	$20	$139K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	3,600	$30	$115.2K
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…	4,470	$20	$102.9K
E0720	Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation	920	$110	$102.3K
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…	2,230	$40	$80.3K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,300	$50	$70.1K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	40	$730	$30.4K

Showing 1–10 of 23

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

Advanced Spine And Rehab Center PC — 6 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	288	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…	281	1,310	760	$20	$153.1K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	3	10	130	$60	$125K
E0720	Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation	1	10	920	$110	$102.3K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	11	810	1,160	$20	$68.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13	170	420	$20	$49K
99204	The 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…	69	250	110	$80	$47.1K
99203	The 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…	208	430	110	$50	$36.1K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	1	10	50	$50	$35K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	6	20	80	$140	$34.2K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Miller	IA	Pain Medicine Physician	$127.2K	$0
Michelle Donohue	IA	Acute Care Nurse Practitioner	$60.8K	$0
Megan Gilmere	IA	Nurse Practitioner	$57.1K	$0
David Reeves	IA	Physical Therapist	$35.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery Living, Inc.	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$82M
Prk Williams Inc.	IA	In Home Supportive Care Agency	$0	$57.4M
St Luke's Methodist Hospital	IA	General Acute Care Hospital	$0	$36.2M
Life Connection, L.c.	IA	Early Intervention Provider Agency	$0	$26.3M
Medical Laboratories Of Eastern Iowa Lc	IA	Clinical Medical Laboratory	$1.4M	$14.4M
East Central Iowa Acute Care, PLLC	IA	Emergency Medicine Physician	$0	$10.6M
Covenant Family Solutions, LLC	IA	Community/Behavioral Health Agency	$0	$8.5M
Radiology Consultants Of Iowa, Plc	IA	Diagnostic Radiology Physician	$0	$5.5M
Weland Clinical Laboratories, P.C.	IA	Clinical Medical Laboratory	$1.2M	$3.8M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M

Advanced Spine And Rehab Center PC — Billing Profile & Reimbursement Data

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Advanced Spine And Rehab Center 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

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