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.

Medical Associates Clinic P C (NPI 1457300790)

Medical Associates Clinic P C is a multi-specialty clinic/center provider located in Dubuque, Iowa. This profile covers 0 Medicare and 110 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	Medical Associates Clinic P C
Address	1500 Associates Dr
City	Dubuque
State	IA
ZIP	52002
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

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

110 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…	64,210	$30	$2.1M
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…	35,840	$40	$1.4M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,990	$80	$409.5K
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…	3,370	$80	$262.5K
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.	5,990	$40	$251.7K
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…	3,220	$70	$225.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,830	$30	$211.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,260	$40	$178.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,510	$100	$144.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,050	$60	$112.7K

Showing 1–10 of 110

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

Medical Associates Clinic P C — 3 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	2	10	30	$710	$1.4M
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.	264	280	850	$140	$801.8K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	8	20	460	$140	$410.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	514	680	670	$70	$343.5K
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…	38	40	900	$90	$249.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	120	1,100	$30	$162.6K
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…	21	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…	13	1,310	760	$20	$153.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	61	610	550	$70	$145.9K
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.	52	170	320	$20	$119.2K

Showing 1–10 of 110

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Peracha	IL	Ophthalmology Physician	$1M	$63.3K
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Kyle Freeman	IA	Diagnostic Radiology Physician	$332.5K	$0
Gregory Vandigo	IL	Family Medicine Physician	$165.2K	$166.4K
Ramanujam Ramabadran	IA	Cardiovascular Disease Physician	$235.5K	$0
Jennifer Schope	IA	Dermatology Physician	$232.8K	$0
Chadwick Nachtman	IA	Family Medicine Physician	$229.3K	$0
Eric Engelman	IA	Hematology & Oncology Physician	$216.5K	$0
Rami Eltibi	IA	Cardiovascular Disease Physician	$206.8K	$0
Andrew Bland	IA	Nephrology Physician	$166.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unified Therapy Services, Inc	IA	Physical Therapist	$0	$11.1M
Tri-state Surgery Center, L.L.C.	IA	Ambulatory Surgical Clinic/Center	$2.3M	$0
Peckosh Pediatric Dentistry, P.C.	IA	Dentist	$0	$1.4M
Steven Leifker	IA	Pediatric Dentistry	$0	$1.3M
Hills And Dales Child Development Center	IA	Behavior Analyst	$0	$1.2M
Justin Risma	IA	Ophthalmology Physician	$377.5K	$0
Juan Nieto	IA	Ophthalmology Physician	$279.9K	$0
George Isaac	IA	Specialist	$251K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$192.2K	$10.4K
Walgreen Co	IA	Pharmacy	$153.5K	$5.6K

Medical Associates Clinic P C — Billing Profile & Reimbursement Data

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Medical Associates Clinic P C — 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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