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    OpenPayerNPI Medicare & MedicaidWalter Downey
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    Walter Downey — Billing Profile & Reimbursement Data

    NPI 1407967011 · West Burlington, IA · Family Medicine Physician

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    Walter Downey is a family medicine physician provider located in West Burlington, Iowa. This profile covers 9 Medicare and 0 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 TypeIndividual
    OrganizationWalter Downey
    Address1221 S Gear Ave
    CityWest Burlington
    StateIA
    ZIP52655
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$133.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,380$70$90.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$120$13.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…180$70$13.2K
    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…140$50$6.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$100$3.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$140$3.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$120$1.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$740
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.20$10$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930914329090$70$16K
    9921494,690100$70$14.4K
    G04395421,15080$120$12.1K
    992131,6264,740100$50$8K
    994966111020$190$4.4K
    2061061652050$40$4.2K
    994952325020$140$3K
    G040214924010$150$2.2K
    93010886490120$10$1.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Walter Downey, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Southeast Iowa Regional Medical Center, Inc.IAGeneral Acute Care Hospital$0$21.2M
    Southeast Iowa Regional Medical Center, Inc.IAGeneral Practice Physician$0$12.3M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WICritical Access Hospital$0$7.8M
    Prairie Du Chien Memorial Hospital Association IncWICritical Access Hospital$0$6.9M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WICritical Access Hospital$0$2.1M
    Raymond SmithILHematology & Oncology Physician$1.5M$54.4K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Christian KhouryILHematology & Oncology Physician$746.8K$19.7K

    Nearby Providers

    Other providers in the same ZIP code as Walter Downey, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of Southeastern Iowa IncIAFederally Qualified Health Center (FQHC)$0$35.3M
    Community Health Center Of Seia, IncIADentist$0$3.7M
    Burlington Pediatric Association, P.C.IAPediatrics Physician$0$1.8M
    Burlington Neurology And Sleep Clinic, PlcIANeurology Physician$0$1.2M
    Burlington Ear Nose & Throat Clinic PCIAOtolaryngology Physician$0$907.7K
    Aneesh NeekhraIANeurology Physician$210.9K$234.4K
    Douglas HenrichIAOtolaryngology Physician$198.1K$101.9K
    Michael AbouassalyIAFamily Medicine Physician$275K$0
    Eric O'brienIAOptometrist$45.6K$204.5K
    Louis KantzavelosIAUrology Physician$213.8K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Walter Downey — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa