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.

Boone C.s.d. (NPI 1598812448)

Field	Value
Entity Type	Organization
Organization	Boone C.s.d.
Address	500 7th St
City	Boone
State	IA
ZIP	50036
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	13,870	$140	$1.9M
96152	N/A	6,730	$140	$928.6K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	12,810	$70	$909.3K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	13,950	$10	$195.3K
96153	N/A	1,770	$70	$125.9K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	13,170	$10	$118.5K
A0130	Non-emergency transportation: wheelchair van	2,750	$20	$54.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2,090	$1	$8.4K

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

Boone C.s.d. — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96153	N/A	27	30	3,940	$90	$1.1M
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	11	70	3,810	$130	$1.1M
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	14	40	6,560	$80	$994.2K
96152	N/A	10	60	2,980	$140	$595.5K
A0130	Non-emergency transportation: wheelchair van	29	50	4,150	$40	$302.6K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	13	70	3,930	$20	$143.7K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	13	50	5,420	$10	$131.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	13	20	3,080	$1	$19.4K

Nearby Providers

Other providers in the same ZIP code as Boone C.s.d., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boone County Hospital	IA	Critical Access Hospital	$0	$1.1M
Boone County Family Medicine Tr	IA	Family Medicine Physician	$0	$858.1K
Hy-vee Inc	IA	Community/Retail Pharmacy	$156K	$75K
Kinne Family Pharmacy Inc	IA	Community/Retail Pharmacy	$72.4K	$3K

Boone C.s.d. — Billing Profile & Reimbursement Data

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Boone C.s.d. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References