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    OpenPayerNPI Medicare & MedicaidCommunity Health Center Of Fort Dodge, Inc.
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    Community Health Center Of Fort Dodge, Inc. — Billing Profile & Reimbursement Data

    NPI 1588160089 · Mason City, IA · Federally Qualified Health Center (FQHC)

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    Community Health Center Of Fort Dodge, Inc. is a federally qualified health center (fqhc) provider located in Mason City, Iowa. This profile covers 0 Medicare and 70 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Health Center Of Fort Dodge, Inc.
    Address404 N Federal Ave
    CityMason City
    StateIA
    ZIP50401
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedApril 3, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D9999N/A24,080$110$2.7M
    T1015Clinic visit/encounter, all-inclusive13,610$170$2.3M
    D0999N/A6,950$200$1.4M
    D0603Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day1,690$1$5.1K
    D0210Intraoral - complete series of radiographic images4,960$1$5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,060$1$4.1K
    D0120Periodic oral evaluation - established patient3,930$1$3.9K
    D0150Comprehensive oral evaluation – new or established patient3,240$1$3.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,200$1$3.2K
    D2391Resin‑based composite – one surface, posterior660$1$2K

    Showing 1–10 of 70

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    70 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive903303,960$170$2.8M
    D9999N/A11406,850$180$2.7M
    D0999N/A12306,470$210$1.8M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…522680670$70$343.5K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…4340310$100$162.7K
    99214The 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…2801,060480$40$154.5K
    99213The 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…3051,310760$20$153.1K
    90792In 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…72140210$120$152.1K
    D2740N/A285060$360$101.8K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.275400110$100$101.1K

    Showing 1–10 of 70

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Health Center Of Fort Dodge, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Center Of Fort Dodge Inc.IAFederally Qualified Health Center (FQHC)$0$23.6M
    Maryjo FerenceMIPediatric Optometrist$8.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Community Health Center Of Fort Dodge, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Services-iowa CorpIARural Acute Care Hospital$0$45.7M
    Prairie Ridge Integrated Behavioral HealthcareIASubstance Abuse Rehabilitation Facility$0$24.2M
    North Iowa Vocational CenterIADevelopmentally Disabled Services Day Training Agency$0$15.3M
    Mason City Community School DistrictIALocal Education Agency (LEA)$0$6.8M
    City Of Mason CityIALand Ambulance$616.5K$4.3M
    Todd HoeppnerIAPediatric Dentistry$0$4.8M
    North Iowa Mercy ClinicsIAEmergency Medicine Physician$0$3.9M
    North Iowa Transition CenterIACommunity/Behavioral Health Agency$0$3.7M
    North Iowa Mercy ClinicsIACardiovascular Disease Physician$0$2.7M
    Mason City Ambulatory Surgery Center, LLCIAAmbulatory Surgical Clinic/Center$2.2M$422.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Community Health Center Of Fort Dodge, Inc. — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa