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.

Broadlawns Medical Center (NPI 1467447508)

Field	Value
Entity Type	Organization
Organization	Broadlawns Medical Center
Address	1801 Hickman Rd
City	Des Moines
State	IA
ZIP	50314
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 14, 2005

Payer Source	Total Paid
Medicaid	$112.9M
Medicare	$0

Key Findings

BROA DLAWNS MEDICAL CENTER has no Medicare billing on file and reports $112.9M in lifetime Medicaid revenue, making Medicaid effectively its sole recorded government payer in the dataset. This single-payer footprint means analyses of its public payer exposure should focus on Medicaid trends and policy changes rather than Medicare dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 61.7% of the provider's total Medicaid revenue. Those top drivers are G0463 ($45M, 46.0%), 99283 ($8.2M, 8.4%), and 99284 ($7.2M, 7.4%), indicating a small set of codes generates the majority of billed Medicaid dollars.

The code mix for the top revenue drivers indicates the provider operates as a high-volume hospital outpatient and emergency care hub: G0463 is a hospital outpatient clinic visit, and 99283/99284 are emergency department E/M services at low and moderate decision-making levels. Combined with a material 99285 volume ($4.6M, 4.7%), these patterns point to substantial ED throughput and outpatient assessment activity as core service lines.

Competitive standing within Iowa is dominant for several high-revenue codes: G0463 ranks #2 of 70 providers in-state (99th percentile; extreme outlier) and 99283 ranks #1 of 305 providers in-state (100th percentile; extreme outlier), while 99284 ranks #4 of 275 (99th percentile; extreme outlier). These placements indicate BROADLAWNS is a major statewide provider for hospital outpatient clinic visits and ED services, often far above typical state volumes.

Beyond ED and clinic visits, the provider shows breadth in ambulatory and specialty services: 99214 (169.3K claims, $6.3M, 6.4%) ranks #3 of 1063 (100th percentile; extreme outlier) and 99213 (180.9K claims, $5.1M, 5.2%) ranks #7 of 1312 (100th percentile; extreme outlier), reflecting very high primary/outpatient visit volumes and sustained ambulatory throughput. These large claim counts alongside significant revenue shares suggest a substantial outpatient practice footprint in addition to emergency care.

BROADLAWNS also appears to deliver notable specialty and procedural care within Medicaid: 66984 (cataract surgery) accounts for $3.2M (3.3%) and ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume), while 92014 (comprehensive eye exam) is $1.3M (1.3%) and ranks #1 of 445 (100th percentile; extreme outlier). The presence of surgical ophthalmology and high-volume eye exams indicates on-site specialty surgical and clinic services contributing materially to revenue.

The provider reports sizable behavioral health and support services volumes: psychotherapy codes 90834 (27.3K claims, $2.3M) and 90837 (12.2K claims, $1.2M) are both above typical state volumes (90834 ranks #31 of 675, 96th percentile; 90837 ranks #19 of 610, 97th percentile), and interpreter services T1013 (44.1K claims, $1.9M) rank #1 of 27 (100th percentile; extreme outlier). These data suggest integrated behavioral health and ancillary support services are meaningful parts of its Medicaid operations and patient mix.

Ancillary infusion, diagnostic, and procedural services are concentrated and frequently rank at or near the top statewide: 96372 (34.1K claims, $614.6K, 0.6%) ranks #1 of 259 (100th percentile; extreme outlier), 96374 (10.6K claims, $1.4M) ranks #7 of 86 (93th percentile; notably above typical), and 87637 (4.1K claims, $502.2K) ranks #1 of 33 (100th percentile; notably above typical). Combined with chemotherapy code 96413 and frequent ED-related infusion codes, this pattern indicates significant on-site treatment and diagnostic capacity supporting both ED and outpatient care.

Medicaid: Complete Services Breakdown

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

431 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	454,670	$100	$45M
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.	73,890	$110	$8.2M
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.	53,000	$140	$7.2M
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…	169,260	$40	$6.3M
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…	180,900	$30	$5.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20,980	$220	$4.6M
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	3,660	$880	$3.2M
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…	27,270	$90	$2.3M
T1013	Sign language or oral interpretive services, per 15 minutes	44,130	$40	$1.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,650	$130	$1.4M

Showing 1–10 of 431

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

Broadlawns Medical Center — 19 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

431 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	70	1,440	$90	$2.8M
J0178	Injection, aflibercept, 1 mg	5	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.	4	280	850	$140	$801.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10	180	340	$170	$722K
J0585	Injection, onabotulinumtoxina, 1 unit	2	20	380	$700	$687.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	32	60	2,110	$70	$570.5K
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.	1	310	1,320	$100	$543.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1	10	130	$580	$506.8K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	6	10	3,460	$130	$479.9K
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.	9	20	460	$140	$410.5K

Showing 1–10 of 431

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Broadlawns Medical Center	IA	Community/Behavioral Health Agency	$0	$13.2M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Broadlawns Medical Center	IA	Nurse Practitioner	$0	$4.2M
Broadlawns Medical Center	IA	Dentist	$0	$2.4M
Bradley Hiatt	IA	Medical Oncology Physician	$2.2M	$0
Broadlawns Medical Center	IA	Psychiatric Hospital Unit	$0	$1.7M
Broadlawns Medical Center	IA	Community/Behavioral Health Agency	$0	$1.5M
David Sosnouski	IA	Diagnostic Radiology Physician	$592.7K	$0
Robert Conner	IA	Geriatric Medicine (Family Medicine) Physician	$590.2K	$0
Luke Bolek	FL	Diagnostic Radiology Physician	$573.6K	$0

Nearby Providers

Other providers in the same ZIP code as Broadlawns Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Health Initiatives-iowa Corp	IA	General Acute Care Hospital	$0	$26.4M
Des Moines Independent Community School District	IA	Local Education Agency (LEA)	$0	$22.8M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$14.1M
Mercy Clinics Inc	IA	Pediatric Adolescent Medicine Physician	$0	$10.7M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$8.1M
Catholic Health Initiatives-iowa Corp	IA	Clinical Medical Laboratory	$0	$8M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$7.9M
Vita Health Services	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.5M
House Of Mercy	IA	Substance Abuse Rehabilitation Facility	$0	$7.4M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$7.2M

Broadlawns Medical Center — Billing Profile & Reimbursement Data

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Broadlawns Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References