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.

Obstetrics And Gynecology Specialists PC (NPI 1427003011)

Field	Value
Entity Type	Organization
Organization	Obstetrics And Gynecology Specialists PC
Address	5350 Eastern Avenue
City	Davenport
State	IA
ZIP	52807
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 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…	8,500	$40	$297.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	9,170	$30	$247.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,490	$50	$188.4K
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…	1,540	$60	$84.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,540	$30	$66K
J1050	Injection, medroxyprogesterone acetate, 1 mg	710	$70	$47.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	280	$80	$21.7K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	260	$70	$16.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	150	$100	$14.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	180	$60	$10K

Showing 1–10 of 23

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

Obstetrics And Gynecology Specialists PC — 1 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	344	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…	179	1,310	760	$20	$153.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7	60	210	$50	$69.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2	60	460	$40	$64K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	18	40	180	$40	$28.6K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	6	10	80	$90	$25.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	26	50	150	$70	$24K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	18	30	90	$80	$23.4K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	13	30	100	$30	$22.3K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	27	40	110	$50	$20.5K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Obstetrics And Gynecology Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shirley Hinshaw	NM	Obstetrics & Gynecology Physician	$47.5K	$0
Jennifer Steines Wagemester	IA	Obstetrics & Gynecology Physician	$40.6K	$0
Abigail Bartolo-costello	IA	Women's Health Nurse Practitioner	$19K	$0

Nearby Providers

Other providers in the same ZIP code as Obstetrics And Gynecology Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quad Cities Service Providers, LLC	IA	Community/Behavioral Health Agency	$0	$17.4M
Secure Dental Ii, LLC	IA	Dentist	$0	$8.5M
Sweet Pea's Therapy, LLC	IA	Speech-Language Pathologist	$0	$8M
Family Care Solutions L C	IA	Home Health Agency	$0	$4.2M
Spring Park Surgery Center L L C	IA	Ambulatory Surgical Clinic/Center	$3.8M	$193.7K
Genventures, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Vav Operations Ia LLC	IA	Community/Behavioral Health Agency	$0	$3.1M
Mississippi Medical Plaza, Lc	IA	Ambulatory Surgical Clinic/Center	$2.2M	$906.6K
Radiology Group PC Sc	IA	Diagnostic Radiology Physician	$0	$2M
Eric Dippel	IA	Interventional Cardiology Physician	$931K	$0

Obstetrics And Gynecology Specialists PC — Billing Profile & Reimbursement Data

Sign up for Obstetrics And Gynecology Specialists PC — Billing Profile & Reimbursement Data policy alerts

Obstetrics And Gynecology Specialists PC — Billing Profile & Reimbursement Data

Sign up for Obstetrics And Gynecology Specialists PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References