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    OpenPayerNPI Medicare & MedicaidWolfe Clinic Inc
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    Wolfe Clinic Inc — Billing Profile & Reimbursement Data

    NPI 1477532174 · Marshalltown, IA · Ophthalmology Physician

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    Wolfe Clinic Inc is a ophthalmology physician provider located in Marshalltown, Iowa. This profile covers 0 Medicare and 33 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 TypeOrganization
    OrganizationWolfe Clinic Inc
    Address309 E Church St
    CityMarshalltown
    StateIA
    ZIP50158
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 11, 2006

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

    Payer SourceTotal Paid
    Medicaid$18.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg11,300$710$8M
    67028The 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.28,880$130$3.8M
    J2778Injection, ranibizumab, 0.1 mg2,730$610$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg1,290$770$987.9K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.34,120$20$648.4K
    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…17,360$30$590.1K
    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…11,190$40$470K
    J3590Unclassified biologics5,860$70$410K
    99204The provider sees a new 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 provider…4,310$90$396.2K
    66984The 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…1,310$220$292.8K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg11030$710$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg1101,290$770$987.5K
    J2778Injection, ranibizumab, 0.1 mg1101,500$620$931.2K
    66984The 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…310130$580$506.8K
    67028The 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.120460$140$410.5K
    99232The 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…591201,100$30$162.6K
    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…761,060480$40$154.5K
    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…1011,310760$20$153.1K
    J3590Unclassified biologics110230$70$140.4K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…2102,640$30$84.3K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    David MassopIARetina Specialist (Ophthalmology) Physician$3.9M$0
    Peter RheeIAOphthalmology Physician$1M$0
    Stephen FoxIAOphthalmology Physician$765.6K$0
    Steven AndersonIAOphthalmology Physician$755.9K$0
    Edward HuIAOphthalmology Physician$706.8K$2.3K
    Matthew RauenIAOphthalmology Physician$566.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Wolfe Clinic Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Iowa Residential Services, Inc.IAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$50.3M
    Unitypoint Health - MarshalltownIAGeneral Acute Care Hospital$0$15.9M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$11.5M
    Center AssociatesIACognitive & Behavioral Psychologist$0$8.8M
    Marshalltown Community School DistrictIALocal Education Agency (LEA)$0$6.9M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$5.3M
    Unitypoint Health - MarshalltownIARural Health Clinic/Center$0$3.7M
    Unitypoint Health - MarshalltownIAEmergency Medicine Physician$0$3.6M
    Central Iowa Physio LLCIAPhysical Therapy Clinic/Center$0$2.3M
    Substance Abuse Treatment Unit Of Central IowaIASubstance Abuse Rehabilitation Facility$0$1.6M

    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.

    Medicaid Revenue by Year vs. Iowa Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Wolfe Clinic Inc — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa