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.

Iowa Specialty Hospital- Clarion (NPI 1396792008)

Field	Value
Entity Type	Organization
Organization	Iowa Specialty Hospital- Clarion
Address	215 13th Ave Sw
City	Clarion
State	IA
ZIP	50525
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	53,970	$130	$6.9M
0001A	N/A	40	$0	$0
0002A	N/A	20	$0	$0
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	10	$0	$0
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,060	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	7,320	$0	$0
90474	In this procedure, the provider administers an additional live attenuated vaccine either via oral or intranasal route after the administration of the first vaccine.	790	$0	$0
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	80	$0	$0
90648	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose…	1,070	$0	$0
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	60	$0	$0

Showing 1–10 of 47

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

Iowa Specialty Hospital- Clarion — 0 of 1 code 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	23	330	3,960	$170	$2.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	92	680	670	$70	$343.5K
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…	103	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…	94	1,310	760	$20	$153.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	257	610	550	$70	$145.9K
99391	Preventive 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…	26	170	540	$50	$101.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	171	400	110	$100	$101.1K
99392	Preventive 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…	36	190	300	$50	$91.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	75	280	530	$40	$80.1K
96127	The 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.	24	180	220	$40	$56.6K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Iowa Specialty Hospital- Clarion, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Iowa Specialty Hospital - Clarion	IA	Rural Health Clinic/Center	$0	$1.9M
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Ryan Smith	IA	Diagnostic Radiology Physician	$257K	$0
Stuart Christenson	IA	Cardiovascular Disease Physician	$240.1K	$0
Carter Brown	MN	Diagnostic Radiology Physician	$228.8K	$140
Renata Kesala	MN	Diagnostic Radiology Physician	$226.6K	$0
Joseph Ocel	IA	Diagnostic Radiology Physician	$218.2K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70

Nearby Providers

Other providers in the same ZIP code as Iowa Specialty Hospital- Clarion, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Specialty Hospital- Clarion	IA	Critical Access Hospital	$0	$1.4M
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$51.6K	$640
Angela Frietze	IA	Certified Registered Nurse Anesthetist	$39.8K	$0
Richard Bose	IA	Specialist	$26.7K	$0
Ericha Worple	IA	Surgery Physician	$19.6K	$0
Brandon Taylor	IA	Certified Registered Nurse Anesthetist	$12.2K	$0
Jacob Boll	IA	Certified Registered Nurse Anesthetist	$7.2K	$0
Carla Aldrich	IA	Certified Registered Nurse Anesthetist	$5.6K	$0
Beth Brady	IA	Anesthesiology Physician	$3.1K	$0

Iowa Specialty Hospital- Clarion — Billing Profile & Reimbursement Data

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Iowa Specialty Hospital- Clarion — 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