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    OpenPayerNPI Medicare & MedicaidUnitypoint Health - Marshalltown
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    Unitypoint Health - Marshalltown — Billing Profile & Reimbursement Data

    NPI 1396279907 · Marshalltown, IA · Rural Health Clinic/Center

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    Unitypoint Health - Marshalltown is a rural health clinic/center provider located in Marshalltown, Iowa. This profile covers 0 Medicare and 40 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
    OrganizationUnitypoint Health - Marshalltown
    Address303 Nicholas Dr Ste 100
    CityMarshalltown
    StateIA
    ZIP50158
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedApril 20, 2017

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

    Payer SourceTotal Paid
    Medicaid$3.7M
    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive15,940$230$3.6M
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.1,540$10$7.7K
    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…6,250$1$6.3K
    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…4,960$1$5K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…90$40$3.3K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…500$10$3K
    99460The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.70$40$2.7K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…410$1$1.6K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…540$1$1.1K
    99462The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.40$20$790

    Showing 1–10 of 40

    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

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive833303,960$170$2.8M
    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…1751,060480$40$154.5K
    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…2201,310760$20$153.1K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…77170540$50$101.2K
    G0451Development testing, with interpretation and report, per standardized instrument form2020750$60$92K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…83190300$50$91.7K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.50250240$30$72.7K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.84180220$40$56.6K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…30100130$40$44.7K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…5080190$40$41.5K

    Showing 1–10 of 40

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Unitypoint Health - Marshalltown, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unitypoint Health - MarshalltownIAGeneral Acute Care Hospital$0$15.9M
    Unitypoint Health - MarshalltownIAEmergency Medicine Physician$0$3.6M
    Unitypoint Health - MarshalltownIARural Health Clinic/Center$0$2.4M
    Unitypoint Health - MarshalltownIARural Health Clinic/Center$0$2.2M
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Unitypoint Health - MarshalltownIARural Health Clinic/Center$0$1.5M
    Unitypoint Health - MarshalltownIARural Health Clinic/Center$0$1.4M
    Himanshu TandonIACardiovascular Disease Physician$306.9K$0
    Daniel GlascockIAFamily Medicine Physician$224.4K$0
    Vinay KantamneniIANephrology Physician$159.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Unitypoint Health - Marshalltown, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Iowa Residential Services, Inc.IAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$50.3M
    Wolfe Clinic IncIAOphthalmology Physician$0$18.2M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$11.5M
    Center AssociatesIACognitive & Behavioral Psychologist$0$8.8M
    Marshalltown Community School DistrictIALocal Education Agency (LEA)$0$6.9M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$5.3M
    Central Iowa Physio LLCIAPhysical Therapy Clinic/Center$0$2.3M
    Substance Abuse Treatment Unit Of Central IowaIASubstance Abuse Rehabilitation Facility$0$1.6M
    Region Six Planning CommissionIABus$0$1.4M
    Mid-iowa Community Action, IncIACommunity Health Clinic/Center$0$877.2K

    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
    Unitypoint Health - Marshalltown — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa