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.

Central Iowa Hospital Corporation (NPI 1396837951)

Field	Value
Entity Type	Organization
Organization	Central Iowa Hospital Corporation
Address	1200 Pleasant St
City	Des Moines
State	IA
ZIP	50309
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$58M
Medicare	$0

Key Findings

CENTRAL IOWA HOSPITAL CORPORATION reports no Medicare billing on file and $58M in lifetime Medicaid revenue, making its observable revenue footprint effectively single‑payer Medicaid in the available data. This concentration means analyses of utilization and competitive position should be framed against Medicaid activity rather than Medicare benchmarks.

Revenue concentration is extreme: the top 3 Medicaid codes by revenue account for 69.0% of this provider's total Medicaid revenue, led by 99284 ($17.2M, 58.8K claims, $293 avg paid/claim), G0463 ($11.4M, 104K claims, $110 avg paid/claim), and 99285 ($10.4M, 26.7K claims, $390 avg paid/claim). This shows the bulk of Medicaid dollars are coming from a small set of high‑volume ED and outpatient clinic visit codes.

The code mix points to a hospital whose operations are driven by emergency department evaluation and management and high-volume hospital outpatient clinic services: prominent ED E/M codes (99284, 99285, 99283) and the outpatient clinic visit code G0463 dominate revenue and claim counts. The presence of both moderate (99284) and high‑acuity (99285) ED codes in material amounts indicates the facility manages a range of ED complexity rather than purely low-acuity cases.

CENTRAL IOWA is a statewide leader on several Medicaid codes: 99284 ranks #3 of 275 providers in-state (99th percentile; extreme outlier) and 99211 ranks #2 of 167 providers (99th percentile; extreme outlier), while 99285 ranks #7 of 179 (97th percentile; notably above typical). These ranks and percentiles characterize the provider as a dominant Medicaid participant in emergency and certain outpatient service lines within Iowa.

There is a high-volume, low-dollar component to the business: 99211 has 138.3K claims at $14 avg paid/claim generating $1.9M (3.4% of total Medicaid revenue), indicating substantial throughput of brief or non‑physician outpatient encounters. At the same time, significant volumes of preventive and pediatric E/M codes (90460, 99392, 99393, 99391) suggest the facility also captures routine ambulatory and vaccination activity for Medicaid patients.

Clinical support and ancillary services appear well-developed: the facility reports 0202U (PLA respiratory PCR) with $1.4M revenue and ranks #3 of 50 (96th percentile), and 0241U at $518.8K and rank #3 of 77 (97th percentile), indicating meaningful specialized lab testing activity. Additionally, infusion and injectable therapy codes such as 96374 ($1.7M), 96361 ($312.6K), J0585 ($671.4K) and J0485 ($425.1K) show capacity for IV/infusion and higher‑cost pharmaceutical administration.

Operational scale is evident from very large claim counts for outpatient/ED activity — G0463 at 104K claims and 99284 at 58.8K claims — reinforcing that this provider operates a high‑throughput ED and hospital outpatient clinic. Such volumes imply significant staffing and facility capacity devoted to walk‑in/urgent and clinic throughput rather than low‑volume specialty procedural lines.

CENTRAL IOWA's NPI was enumerated on 2006-09-29 (~20 years ago), indicating it is an established provider in the market. Coupled with sustained, concentrated Medicaid revenue and recurring high‑volume ED and clinic codes, the tenure supports its role as a longstanding hub for Medicaid acute and ambulatory services in Des Moines, IA.

Medicaid: Complete Services Breakdown

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

170 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.	58,760	$290	$17.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	104,000	$110	$11.4M
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.	26,730	$390	$10.4M
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.	30,770	$190	$5.8M
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.	138,330	$10	$1.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,550	$150	$1.7M
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…	4,150	$330	$1.4M
90460	In 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.	15,030	$50	$706.2K
J0585	Injection, onabotulinumtoxina, 1 unit	1,490	$450	$671.4K
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…	8,210	$80	$615.9K

Showing 1–10 of 170

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

Central Iowa Hospital Corporation — 11 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

170 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	5	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.	3	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.	7	180	340	$170	$722K
J0585	Injection, onabotulinumtoxina, 1 unit	4	20	380	$700	$687.3K
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…	20	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.	9	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.	5	90	320	$120	$327.7K
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…	22	40	900	$90	$249.3K
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…	3	50	130	$320	$224.4K
J0485	Injection, belatacept, 1 mg	1	10	490	$440	$214.4K

Showing 1–10 of 170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	Clinical Medical Laboratory	$3M	$26.7M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$14.7M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Childrens Health Center	MI	Health Service Clinic/Center	$0	$7.3M
Central Iowa Hospital Corporation	IA	Internal Medicine Physician	$0	$2.5M
Central Iowa Hospital Corporation	IA	Family Medicine Physician	$0	$1.6M
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$1.2M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$1.2M
Central Iowa Hospital Corporation	IA	Mental Health Counselor	$0	$999.4K

Nearby Providers

Other providers in the same ZIP code as Central Iowa Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eyerly Ball Community Mental Health Services	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57M
City Of Des Moines Iowa	IA	Land Ambulance	$1.1M	$47.2M
Orchard Place	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.5M
Woodward Youth Corporation	IA	Community/Behavioral Health Agency	$0	$28.2M
Dhs-targeted Case Management	IA	Case Management Agency	$0	$26.2M
Orchard Place	IA	Adolescent and Children Mental Health Clinic/Center	$0	$6.6M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Youth Emergency Services & Shelter Of Iowa	IA	Voluntary or Charitable Agency	$0	$4.7M
Sunrise Community Of Iowa Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$4.4M
David Massop	IA	Retina Specialist (Ophthalmology) Physician	$3.9M	$0

Central Iowa Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for Central Iowa Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

Central Iowa Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for Central Iowa Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References