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    OpenPayerNPI Medicare & MedicaidTrinity Regional Medical Center
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    Trinity Regional Medical Center — Billing Profile & Reimbursement Data

    NPI 1487759858 · Fort Dodge, IA · General Acute Care Hospital

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    Trinity Regional Medical Center is a general acute care hospital provider located in Fort Dodge, Iowa. This profile covers 0 Medicare and 147 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
    OrganizationTrinity Regional Medical Center
    Address802 Kenyon Rd
    CityFort Dodge
    StateIA
    ZIP50501
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedSeptember 13, 2006

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

    Payer SourceTotal Paid
    Medicaid$12.3M
    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.

    147 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.16,590$220$3.7M
    99283The 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.19,740$150$2.9M
    99285The 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.5,580$290$1.6M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7,880$120$921.6K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.44,700$10$536.4K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.6,300$60$378.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.360$810$289.8K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…620$330$204K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…5,650$30$192.1K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…4,450$40$177.8K

    Showing 1–10 of 147

    • More pages

    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

    147 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient44701,440$90$2.8M
    99284The 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.33280850$140$801.8K
    99285The 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.34180340$170$722K
    99283The 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.253101,320$100$543.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1690320$120$327.7K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…1620260$170$286.5K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…1250130$320$224.4K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…2560210$80$186.8K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)8890570$80$180.2K
    S9455Diabetic management program, group session2101,250$130$156.6K

    Showing 1–10 of 147

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Luke's Methodist HospitalIAGeneral Acute Care Hospital$0$36.2M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$16.5M
    Unity HealthcareIAGeneral Acute Care Hospital$0$12.7M
    Northwest Iowa Hospital CorporationIAEmergency Medical Services (Emergency Medicine) Physician$0$7.9M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$5.7M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$5M
    Trinity Regional Medical CenterIAEmergency Medicine Physician$0$4.6M
    St. Luke's Methodist HospitalIACardiovascular Disease Physician$0$3.9M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$3.8M
    Unitypoint At HomeIAHome Health Agency$0$3.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Central IndustriesIACommunity/Behavioral Health Agency$0$29.5M
    Community Health Center Of Fort Dodge Inc.IAFederally Qualified Health Center (FQHC)$0$23.6M
    Community And Family ResourcesIASubstance Abuse Rehabilitation Facility$0$21M
    North Central Iowa Mental Health Center IncIAMental Health Clinic/Center (Including Community Mental Health Center)$0$15.3M
    Community School DistrictIALocal Education Agency (LEA)$0$15.1M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$6.4M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$6.4M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$5.7M
    Fort Dodge Ywca Women's Halfway HouseIASubstance Abuse Rehabilitation Facility$0$5.7M
    Iowa Central IndustriesIACommunity/Behavioral Health Agency$0$4.6M

    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
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Trinity Regional Medical Center — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa