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.

Mercy Medical Services (NPI 1548203193)

Mercy Medical Services is a internal medicine physician provider located in Sioux City, 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.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mercy Medical Services
Address	801 5th St
City	Sioux City
State	IA
ZIP	51101
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The 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…	17,480	$40	$611.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20,270	$10	$182.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,760	$100	$173.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,750	$100	$173.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3,480	$50	$170.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,000	$80	$160K
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…	3,120	$40	$112.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,140	$50	$98.5K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	420	$160	$67K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,610	$20	$52.1K

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.

Claims Volume vs. Iowa Distribution

Mercy Medical Services — 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	225	280	850	$140	$801.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	12	40	900	$90	$249.3K
99232	The 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…	7	120	1,100	$30	$162.6K
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…	248	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…	521	1,310	760	$20	$153.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5	30	190	$100	$131.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	18	80	250	$50	$87.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	9	80	190	$90	$58.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1	50	400	$80	$58.1K
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…	57	210	170	$60	$50.6K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Services	NE	Family Medicine Physician	$0	$1.1M
Adnan Qalbani	SD	Diagnostic Radiology Physician	$501.7K	$0
Louis Elkins	AR	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$368.5K	$0
Sandeep Gupta	IA	Pulmonary Disease Physician	$212.5K	$0
Mudassir Malik	IA	Advanced Heart Failure and Transplant Cardiology Physician	$208.6K	$200
Ravinder Dervesh	IA	Interventional Cardiology Physician	$196.9K	$0
Jitendrakumar Gupta	IA	Pulmonary Disease Physician	$181.5K	$0
Steven Joyce	SD	Physical Medicine & Rehabilitation Physician	$177.6K	$0
Daniel Lamptey	IA	Infectious Disease Physician	$175.7K	$0
Mercy Medical Services	SD	Radiation Oncology Physician	$0	$168.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Recovery Centers, Inc.	IA	Substance Abuse Rehabilitation Facility	$0	$28.5M
Siouxland Mental Health Services, Inc.	IA	Community/Behavioral Health Agency	$0	$25.7M
City Of Sioux City Accounting Division	IA	Ambulance	$520.5K	$19.2M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Family Health Care Of Siouxland Plc	IA	Family Medicine Physician	$0	$11.1M
Family Wellness Associates, Inc.	IA	Community/Behavioral Health Agency	$0	$4M
Woodbury Emergency Group, PC	IA	Emergency Medicine Physician	$0	$3M
Donald Wender	IA	Hematology & Oncology Physician	$2.6M	$0
Building Bridges Counseling & Associates Inc	IA	Community/Behavioral Health Agency	$0	$2.5M
Counseling And Support Services Inc	IA	Social Worker	$0	$1.8M

Mercy Medical Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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