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.

Trinity Regional Medical Center (NPI 1609394345)

Field	Value
Entity Type	Organization
Organization	Trinity Regional Medical Center
Address	115 S Park Ave
City	Eagle Grove
State	IA
ZIP	50533
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 1, 2017

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	20,990	$110	$2.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	330	$10	$2.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	510	$1	$2.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	90	$20	$1.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	90	$10	$960
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…	140	$10	$720
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	440	$1	$440
3078F	No Summary found for this code	30	$1	$30
3074F	No Summary found for this code	30	$1	$30
3008F	No Summary found for this code	170	$0	$0

Showing 1–10 of 28

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

Trinity Regional Medical Center — 0 of 9 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	66	330	3,960	$170	$2.8M
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…	232	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…	131	1,310	760	$20	$153.1K
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…	118	190	300	$50	$91.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	170	250	240	$30	$72.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	74	250	110	$50	$39.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	61	100	170	$10	$25.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	146	460	820	$1	$19K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	55	290	100	$40	$17.2K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	127	130	210	$10	$14.4K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Trinity Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Regional Medical Center	IA	General Acute Care Hospital	$0	$12.3M
Northwest Iowa Hospital Corporation	IA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.9M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Trinity Regional Medical Center	IA	Emergency Medicine Physician	$0	$4.6M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.5M
Timothy Hansen	IA	MOHS-Micrographic Surgery Physician	$517K	$0
Jon Grudem	SD	Neurology Physician	$402.6K	$0
Saad Ashraf	GA	Pulmonary Disease Physician	$380.7K	$0
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0
Dmitry Sukenik	IL	Cardiovascular Disease Physician	$212.9K	$118.4K

Trinity Regional Medical Center — 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

Frequently Asked Questions

References