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.

Dubuque Internal Medicine PC (NPI 1568427524)

Dubuque Internal Medicine PC is a internal medicine physician provider located in Dubuque, Iowa. This profile covers 0 Medicare and 106 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	Dubuque Internal Medicine PC
Address	1515 Delhi St
City	Dubuque
State	IA
ZIP	52001
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,620	$30	$1.7M
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…	27,620	$40	$994.4K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3,670	$50	$168.6K
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…	3,540	$30	$120.2K
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…	2,560	$50	$115.1K
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.	2,210	$40	$86.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	920	$90	$78.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	950	$70	$65.4K
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…	950	$60	$59.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	890	$70	$58.5K

Showing 1–10 of 106

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

Dubuque Internal Medicine PC — 2 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	33	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…	26	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…	24	1,310	760	$20	$153.1K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	9	20	180	$150	$147.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	70	170	540	$50	$101.2K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	14	30	150	$110	$96.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	64	190	300	$50	$91.7K
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…	43	80	250	$50	$87.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	22	30	200	$110	$85.8K
0241U	N/A	65	80	290	$110	$85.1K

Showing 1–10 of 106

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hills And Dales Child Development Center	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$68.5M
Area Residential Care Inc.	IA	Intellectual Disabilities Intermediate Care Facility	$0	$32.8M
Hillcrest Family Services	IA	Child & Adolescent Psychiatry Physician	$0	$32.5M
Crescent Community Health Center	IA	Federally Qualified Health Center (FQHC)	$0	$29.5M
Dubuque Community School District	IA	Local Education Agency (LEA)	$0	$26.6M
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
City Of Dubuque	IA	Land Ambulance	$690.9K	$8.9M
Hillcrest Family Services	IA	Social Worker	$0	$7.1M
Mercy Medical Center-dubuque	IA	General Acute Care Hospital	$0	$5.2M
Hills And Dales Child Development Center	IA	Intellectual Disabilities Intermediate Care Facility	$0	$4.7M

Dubuque Internal Medicine PC — Billing Profile & Reimbursement Data

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Dubuque Internal Medicine PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dubuque Internal Medicine PC	IA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Mark Hermann	IA	Hematology & Oncology Physician	$625.3K	$0
John Whalen	IA	Nephrology Physician	$300.8K	$0
Jennifer Schope	IA	Dermatology Physician	$232.8K	$0
David Ringold	IA	Nephrology Physician	$202.8K	$0
Hillard Salas	IA	Internal Medicine Physician	$199.7K	$0
Zhengjin Cao	IA	Internal Medicine Physician	$196.9K	$0
Cynthia Konz	IA	Internal Medicine Physician	$151.4K	$0
Benjamin Kumor	IA	Adult Medicine Physician	$148.9K	$0
Ronald Iverson	IA	Endocrinology, Diabetes & Metabolism Physician	$134.3K	$0