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.

Lakes Regional Healthcare (NPI 1508862012)

Field	Value
Entity Type	Organization
Organization	Lakes Regional Healthcare
Address	2301 Highway 71
City	Spirit Lake
State	IA
ZIP	51360
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 21, 2005

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	2,730	$140	$379.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,830	$80	$321.6K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3,620	$40	$141.3K
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.	370	$240	$89K
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.	140	$330	$45K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	140	$130	$18.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	240	$30	$8.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,920	$1	$7.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	4,600	$1	$4.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,180	$1	$3.2K

Showing 1–10 of 34

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

Lakes Regional Healthcare — 0 of 22 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

34 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	27	70	1,440	$90	$2.8M
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.	169	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.	114	180	340	$170	$722K
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.	115	310	1,320	$100	$543.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	59	90	320	$120	$327.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	61	70	180	$60	$101.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	13	180	290	$70	$66.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	71	180	1,660	$10	$58.8K
96375	Following 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…	69	80	140	$40	$55.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	156	170	190	$40	$53.4K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Regional Healthcare	IA	Family Medicine Physician	$0	$1.3M
Jason Hough	IA	Orthopaedic Surgery Physician	$297.8K	$0
Jenny Nelson	SD	MOHS-Micrographic Surgery Physician	$285.1K	$0
Todd Zimprich	SD	Neurology Physician	$196.6K	$0
Kurt Rosenkrans	IA	Family Medicine Physician	$182.4K	$0
Christopher Rierson	IA	Orthopaedic Surgery Physician	$165.4K	$0
Mark Milleman	IA	Urology Physician	$143.4K	$0
Brett Olson	IA	Family Medicine Physician	$139.6K	$0
Andrew Pick	IA	Orthopaedic Surgery Physician	$128.4K	$0
Michael Hibbard	SD	Cardiovascular Disease Physician	$101.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lakes Regional Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Lifeskills LLC	IA	Community/Behavioral Health Agency	$0	$31.5M
Crystal Meyer	IA	Nurse Practitioner	$257.6K	$0
Randy Cornwall	IA	Optometrist	$144.1K	$97.9K
Courtney Bolluyt	IA	Physician Assistant	$234.7K	$0
Walmart Inc.	IA	Community/Retail Pharmacy	$133.6K	$0
Nicole Stall	IA	Family Nurse Practitioner	$46.1K	$0
Laith Mahdi	IA	Emergency Medicine Physician	$38.3K	$0
John Sherrill	IA	Certified Registered Nurse Anesthetist	$22.3K	$0
Sarah Berte-greinert	IA	Clinical Social Worker	$5.8K	$0

Lakes Regional Healthcare — Billing Profile & Reimbursement Data

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Lakes Regional Healthcare — 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