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.

Story County Hospital (NPI 1508390352)

Field	Value
Entity Type	Organization
Organization	Story County Hospital
Address	640 S 19th St Ste 100
City	Nevada
State	IA
ZIP	50201
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 19, 2017

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,310	$240	$6.7M
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…	10,130	$1	$10.1K
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…	6,300	$1	$6.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	470	$1	$470
0003A	N/A	10	$10	$130
3079F	No Summary found for this code	30	$1	$90
3074F	No Summary found for this code	50	$1	$90
3078F	No Summary found for this code	30	$1	$30
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	20	$1	$20
0001A	N/A	120	$0	$0

Showing 1–10 of 42

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

Story County Hospital — 0 of 9 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	55	330	3,960	$170	$2.8M
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…	143	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…	154	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	121	140	210	$120	$152.1K
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.	66	250	240	$30	$72.7K
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…	85	210	170	$60	$50.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	130	250	110	$50	$39.9K
99203	The provider sees a new 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 provider…	320	430	110	$50	$36.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	61	110	660	$10	$18.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	100	290	100	$40	$17.2K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Story County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marengo Memorial Hospital	IA	Rural Health Clinic/Center	$0	$3.4M
Story County Hospital	IA	Critical Access Hospital	$0	$2.1M
Marengo Memorial Hospital	IA	Critical Access Hospital	$0	$2.1M
Edward Hu	IA	Ophthalmology Physician	$706.8K	$2.3K
Stuart Christenson	IA	Cardiovascular Disease Physician	$240.1K	$0
Jason Rasmussen	IA	Cardiovascular Disease Physician	$194.7K	$0
Michael Quirk	AZ	Physician Assistant	$150.5K	$0
Snehitha Vijaykumar	IA	Interventional Cardiology Physician	$141.7K	$0
Daniel Lee	IA	Urology Physician	$127.8K	$0
Stacey Marlow Fisher	IA	Emergency Medicine Physician	$63.5K	$0

Nearby Providers

Other providers in the same ZIP code as Story County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pierre Bernard	IA	Family Medicine Physician	$279.8K	$0
Perry Rathe	IA	Family Medicine Physician	$187.1K	$0
Thomas Johnson	IA	Gastroenterology Physician	$128K	$0
Kristian Dugger	IA	Optometrist	$50.2K	$35.5K
Arthur Check	IA	Family Medicine Physician	$6K	$0

Story County Hospital — Billing Profile & Reimbursement Data

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Story County Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References