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.

Family Medicine Of Mt. Pleasant, P.C. (NPI 1427153998)

Family Medicine Of Mt. Pleasant, P.C. is a family medicine physician provider located in Mt Pleasant, Iowa. This profile covers 0 Medicare and 29 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	Family Medicine Of Mt. Pleasant, P.C.
Address	501 S White St
City	Mt Pleasant
State	IA
ZIP	52641
Taxonomy	Family Medicine Physician
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

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

29 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…	30,030	$30	$990.9K
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…	8,850	$50	$398.1K
0241U	N/A	770	$120	$92.8K
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.	1,760	$50	$86.2K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,560	$40	$62.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	500	$120	$59.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	430	$100	$41.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	200	$90	$17.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	190	$70	$13.2K
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,…	360	$30	$9.4K

Showing 1–10 of 29

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

Family Medicine Of Mt. Pleasant, P.C. — 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	51	60	16,120	$150	$3.8M
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…	108	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…	51	1,310	760	$20	$153.1K
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…	168	190	300	$50	$91.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	10	30	200	$110	$85.8K
0241U	N/A	19	80	290	$110	$85.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	17	20	770	$50	$62.7K
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.	26	180	220	$40	$56.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	29	170	190	$40	$53.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	29	130	120	$80	$52.1K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Insight Partnership Group	IA	Community/Behavioral Health Agency	$0	$20.6M
Henry County Health Center, Inc.	IA	Rural Health Clinic/Center	$0	$2.8M
Henry County Soldiers' And Sailors' Memorial Hospital	IA	Land Ambulance	$470.9K	$1.6M
Henry County Health Center, Inc.	IA	Critical Access Hospital	$0	$2M
Henry County Soldiers' And Sailors' Memorial Hospital	IA	Rural Health Clinic/Center	$0	$1.7M
Davis Radiology, P.C.	IA	Diagnostic Radiology Physician	$0	$1.5M
Henry County Soldiers' And Sailors' Memorial Hospital	IA	Critical Access Hospital	$0	$1.5M
Qv Urgent Care Ia PLLC	IA	Urgent Care Clinic/Center	$0	$1.4M
Reed Bouchey	IA	Ophthalmology Physician	$552K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$251.8K	$102.3K

Family Medicine Of Mt. Pleasant, P.C. — Billing Profile & Reimbursement Data

Sign up for Family Medicine Of Mt. Pleasant, P.C. — Billing Profile & Reimbursement Data policy alerts

Family Medicine Of Mt. Pleasant, P.C. — Billing Profile & Reimbursement Data

Sign up for Family Medicine Of Mt. Pleasant, P.C. — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Djonggi Situmeang	IA	Family Medicine Physician	$253K	$0
Kent Rynders	IA	Family Medicine Physician	$232.4K	$0
Julie Wagner	IA	Family Medicine Physician	$224.1K	$0
Sarah Ledger	IA	Family Medicine Physician	$162.3K	$0
Kent Metcalf	IA	Family Medicine Physician	$140.3K	$0
Laura Miller Bjork	IA	Medical Physician Assistant	$102K	$0
Jessica Thomas	IA	Physician Assistant	$70.7K	$0
Katie Gratz	IA	Physician Assistant	$69.8K	$0