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.

Catholic Health Initiatives-iowa Corp (NPI 1508964883)

Field	Value
Entity Type	Organization
Organization	Catholic Health Initiatives-iowa Corp
Address	1111 6th Ave
City	Des Moines
State	IA
ZIP	50314
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $26.4M in lifetime Medicaid revenue, making its publicly observed payment footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid hospital profile. Analysts should treat Medicaid as the primary commercial-facing revenue channel in any payer-contractor modeling for this entity.

Revenue is highly concentrated in a small set of outpatient and emergency codes: the top three Medicaid codes (99284, 99283, and G0463) account for 66.1% of the provider's total Medicaid revenue. Individually those codes are reported as 99284 $7.4M (28.6%), 99283 $5.1M (19.8%), and G0463 $4.6M (17.8%), indicating that a majority of dollars flow from emergency department and hospital outpatient assessment visits.

The code mix and claim volumes point to an operational emphasis on emergency department and same-day outpatient services: 99283 has 36.4K claims, 99284 has 35.3K claims, and 99285 contributes 8.3K claims, while G0463 appears with 61.2K claims. High volumes of IV administration codes (96374 at 10.6K claims and 96361/96375 also in the top 25) plus G0378 observation hourly claims further support a care model built around ED throughput, on-site infusions, and observation stays rather than elective inpatient surgery.

Competitive standing within the state is mixed by acuity: 99283 is an extreme outlier (rank #7 of 305, 98th percentile), and 99284 ranks #13 of 275 (96th percentile) where the data describe activity as "notably above typical state volume." By contrast, the highest-acuity ED code 99285 is more modest (rank #29 of 179, 84th percentile) and is described as "typical, unremarkable volume," suggesting the provider is a regional leader for low-to-moderate acuity ED visits but less dominant for the highest-acuity emergency care.

Several specialized or unique product lines are visible despite their smaller revenue shares: J2350 (ocrelizumab) is reported at $431.2K (1.7%) and ranks #1 of 1 in-state with "no state peer volume comparison available," and J2323 (natalizumab) is $76.5K (0.3%) and also ranks #1 of 1 with no peer comparison. These entries suggest the provider is a sole or limited in-state reporter for certain high-cost biologic infusions, which may be important for narrow-network negotiations or specialty drug capacity assessments.

Behavioral health and addiction services are present at scale relative to other Medicaid lines: S9480 (intensive outpatient psychiatric services) produced $433.8K (1.7%) on 4.2K claims and ranks #1 of 3 (100th percentile) while H0015 intensive outpatient substance use treatment shows 5.2K claims and $203.4K (0.8%). Although these services do not drive the majority of revenue, their presence and state-leading rank for S9480 indicate integrated behavioral health capacity that payers may value for managed care arrangements.

Ancillary and diagnostic throughput supports the ED/outpatient orientation: multiplex respiratory testing 87637 accounts for $249.7K (1.0%) with 2.5K claims (rank #5 of 33, 88th percentile), drug screening 80307 has 4.1K claims and $78.2K (0.3%) (rank #5 of 51, 92th percentile), and observation service G0378 (3.5K claims, $73.2K, 0.3%) ranks #3 of 27 and is described as "notably above typical state volume." This combination of lab, observation, and testing activity aligns with a high-throughput ED and short-stay outpatient model.

The provider has an established presence with an NPI enumerated on 2006-09-20 (~20 years ago), which, together with $26.4M in Medicaid lifetime revenue and concentrated ED-driven billing, suggests a longstanding role in local acute care and outpatient emergency services. Given the reliance on Medicaid and concentration in a few high-volume ED codes, payers should consider both the benefits of established capacity and the financial exposure associated with a Medicaid-dominant, ED-centric revenue mix when evaluating network inclusion or rate negotiations.

Medicaid: Complete Services Breakdown

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

163 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	35,290	$210	$7.4M
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.	36,410	$140	$5.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	61,160	$80	$4.6M
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.	8,280	$440	$3.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,580	$100	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	1,290	$340	$442.1K
S9480	Intensive outpatient psychiatric services, per diem	4,170	$100	$433.8K
J2350	Injection, ocrelizumab, 1 mg	60	$7,070	$431.2K
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…	5,530	$60	$353.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	4,030	$70	$289.9K

Showing 1–10 of 163

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

Catholic Health Initiatives-iowa Corp — 3 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

163 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	6	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.	13	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.	29	180	340	$170	$722K
J0585	Injection, onabotulinumtoxina, 1 unit	6	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…	18	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.	7	310	1,320	$100	$543.4K
J2350	Injection, ocrelizumab, 1 mg	1	10	60	$7,070	$431.2K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	7	10	920	$150	$420.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6	20	2,150	$80	$334.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8	90	320	$120	$327.7K

Showing 1–10 of 163

Related Providers

Other providers that share a Tax Identification Number (TIN) with Catholic Health Initiatives-iowa Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Catholic Health Initiatives-iowa Corp	IA	Clinical Medical Laboratory	$0	$8M
Catholic Health Initiatives-iowa Corp	IA	Clinical Cardiac Electrophysiology Physician	$0	$2.8M
Catholic Health Initiatives - Iowa Corp	IA	General Acute Care Hospital	$0	$1.9M
Christian Schultheis	IA	Medical Oncology Physician	$1.5M	$0
Catholic Health Initiatives-iowa Corp	IA	Diagnostic Radiology Physician	$594.7K	$594.4K
Daniel Buroker	IA	Medical Oncology Physician	$345.1K	$0
Kyle Ulveling	IA	Cardiovascular Disease Physician	$325.1K	$0
Suhas Bhat	IA	Interventional Cardiology Physician	$324.1K	$0
Rakshak Sarda	IA	Cardiovascular Disease Physician	$320.7K	$0

Nearby Providers

Other providers in the same ZIP code as Catholic Health Initiatives-iowa Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Broadlawns Medical Center	IA	General Acute Care Hospital	$0	$112.9M
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
Broadlawns Medical Center	IA	Community/Behavioral Health Agency	$0	$13.2M
Mercy Clinics Inc	IA	Pediatric Adolescent Medicine Physician	$0	$10.7M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$8.1M
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

Catholic Health Initiatives-iowa Corp — Billing Profile & Reimbursement Data

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Catholic Health Initiatives-iowa Corp — 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