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.

Mahaska County Hospital (NPI 1407869852)

Mahaska County Hospital is a family medicine physician provider located in Oskaloosa, Iowa. This profile covers 0 Medicare and 48 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	Mahaska County Hospital
Address	1229 C Ave E
City	Oskaloosa
State	IA
ZIP	52577
Taxonomy	Family Medicine Physician
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	57,700	$30	$1.8M
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…	11,900	$50	$559.2K
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.	2,240	$80	$181.2K
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.	3,150	$50	$163.5K
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.	3,120	$40	$128K
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…	1,230	$70	$79.8K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	760	$70	$51.4K
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…	640	$80	$48.7K
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.	1,710	$30	$46.1K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,560	$30	$40.6K

Showing 1–10 of 48

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

Mahaska 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	87	280	850	$140	$801.8K
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.	106	310	1,320	$100	$543.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	87	90	570	$80	$180.2K
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…	70	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…	21	1,310	760	$20	$153.1K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4	20	510	$110	$112.1K
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…	61	170	540	$50	$101.2K
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…	76	190	300	$50	$91.7K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	10	30	410	$120	$79.2K
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.	32	250	240	$30	$72.7K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahaska County Hospital	IA	Critical Access Hospital	$0	$4.9M
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Robert Pettis	IA	Otolaryngology Physician	$411.5K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Sean Feinberg	IL	Diagnostic Radiology Physician	$243.7K	$0
Kevin Marcum	FL	Diagnostic Radiology Physician	$243.6K	$0
Tariq Alam	MO	Neurology Physician	$223.8K	$3.2K
Shane Kraske	IA	Diagnostic Radiology Physician	$226.8K	$0
Jeffrey Hebert	NM	Diagnostic Radiology Physician	$174.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestead Of Oskaloosa Operations LLC	IA	Assisted Living Facility	$0	$3.1M
Oskaloosa Csd	IA	Local Education Agency (LEA)	$0	$1.9M
James Else	IA	Optometrist	$35.4K	$237.7K
Cheryl Ervin	IA	Certified Registered Nurse Anesthetist	$115.5K	$0
David North	IA	Family Medicine Physician	$88.9K	$19.5K
Karen Spahr	IA	Internal Medicine Physician	$44.6K	$41.1K
Jacquelene Garden	IA	Gerontology Nurse Practitioner	$63.9K	$0
Lisa Nelson	IA	Adult Health Nurse Practitioner	$58.6K	$0
Riley Berg	IA	Physical Therapist	$44K	$0
Gayle Johnson	IA	Family Nurse Practitioner	$37.8K	$0

Mahaska County Hospital — Billing Profile & Reimbursement Data

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Mahaska 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

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