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.

Mcfarland Clinic PC (NPI 1639135643)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mcfarland Clinic PC
Address	1215 Duff Avenue
City	Ames
State	IA
ZIP	50010
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$26.7M
Medicare	$0

MCFARLAND CLINIC PC reports no Medicare billing on file (Total Medicare revenue: none) and is effectively a single-payer Medicaid billing operation with Total Medicaid revenue: $26.7M. The absence of Medicare activity combined with multi-specialty taxonomy indicates the organization’s revenue base is concentrated in Medicaid-covered ambulatory and outpatient services rather than fee-for-service Medicare care models.

Revenue is highly concentrated in a small set of ambulatory E/M and preventive codes: 99213 ($7.1M, 30.4%), 99214 ($4.6M, 20.0%), and 90460 ($1.7M, 7.4%) — together these top three codes account for 57.8% of the provider’s Medicaid revenue as precomputed. This concentration points to operational reliance on established outpatient visits and pediatric immunizations as core volume drivers.

The code mix suggests a broad outpatient multi-specialty operation with strong primary-care and pediatric activity: high-volume E/M codes 99213 and 99214 dominate revenue, and immunization code 90460 is the third-largest contributor. Additional supportive lines visible in the mix — including well visits (99392, 99391, 99393, 99394), allergy testing (95004), and therapeutic/exercise codes (97110) — reinforce a primary care–anchored, family- and pediatric-focused ambulatory platform with in-house preventive services.

MCFARLAND’s competitive standing in-state is pronounced for several high-volume outpatient codes: 99213 ranks #4 of 1312 providers and 99214 ranks #5 of 1063 providers (both labeled extreme outlier and in the 100th percentile), while 90460 ranks #3 of 246 providers (99th percentile, extreme outlier). These rank/percentile positions indicate the clinic is a statewide outlier and major volume producer for routine E/M visits and vaccine administration.

Beyond primary care, the provider bills a mix of emergency, diagnostic, and specialty services that point to an integrated ambulatory practice with ED or urgent-care throughput and on-site diagnostics: emergency codes 99285/99284/99283 appear in the top list, imaging codes (74177, 71046, 77067), pathology 88305, and laboratory/ cytology 88142 are present. Notably, 88142 ranks #1 of 15 providers in-state and is labeled an extreme outlier, signaling unusually high cytology throughput for the clinic relative to peers.

A number of additional procedure-level outliers underscore niche or high-volume offerings: allergy testing 95004 ranks #1 of 32 providers (100th percentile, notably above typical state volume) and injection J0475 ranks #1 of 3 providers (100th percentile) though that J0475 listing is described as typical/unremarkable volume for the code in-state. These rank patterns suggest the clinic either staffs specialized services or serves referral flows for specific outpatient procedures.

The provider’s service mix includes oncology infusion (96413), physical therapy (97110), and ambulatory imaging and CT (74177), indicating diversification beyond front-door primary care into procedure- and therapy-based revenue streams. While these codes individually represent smaller shares of Medicaid revenue, their presence supports a multi-specialty ambulatory business model that captures both routine visits and procedure-based care.

MCFARLAND CLINIC PC has an established presence with NPI enumeration dated 2006-04-26 (~20 years ago), which aligns with the scale and breadth of Medicaid billing reported. The clinic’s long tenure combined with extreme-statewide volumes on several codes suggests an entrenched regional footprint that would be important for payer network planning and capacity assessments.

Medicaid: Complete Services Breakdown

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

252 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…	207,800	$30	$7.1M
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…	102,970	$50	$4.6M
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.	42,110	$40	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,080	$120	$1.5M
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.	16,420	$80	$1.3M
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…	11,630	$80	$895.7K
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…	11,650	$70	$803.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	14,210	$50	$753.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	6,870	$70	$488K
J0475	Injection, baclofen, 10 mg	880	$550	$484.4K

Showing 1–10 of 252

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

Mcfarland Clinic PC — 14 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

252 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.	34	280	850	$140	$801.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	17	180	340	$170	$722K
J0585	Injection, onabotulinumtoxina, 1 unit	10	20	380	$700	$687.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	310	1,320	$100	$543.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	14	20	460	$140	$410.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	9	20	260	$170	$286.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	7	10	120	$350	$249.7K
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…	28	40	900	$90	$249.3K
J0475	Injection, baclofen, 10 mg	1	10	140	$500	$187.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	49	60	210	$80	$186.8K

Showing 1–10 of 252

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Venkatesh Rudrapatna	IA	Hematology & Oncology Physician	$3.4M	$0
Sreenath Kodali	IA	Hematology & Oncology Physician	$3.2M	$0
Sonam Patel	IA	Hematology & Oncology Physician	$1.8M	$0
Joseph Merchant	IA	Hematology & Oncology Physician	$1.8M	$0
Tracy Kangas	IA	Ophthalmology Physician	$1.1M	$0
Sarah Tofilon	IA	Hematology & Oncology Physician	$1.1M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
David Sosnouski	IA	Diagnostic Radiology Physician	$592.7K	$0
Timothy Hansen	IA	MOHS-Micrographic Surgery Physician	$517K	$0
Randy Anderson	IA	Diagnostic Radiology Physician	$513.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainstream Living, Inc.	IA	Social Worker	$0	$134.3M
Youth And Shelter Services, Inc.	IA	Counselor	$0	$11.4M
Mary Greeley Medical Center	IA	General Acute Care Hospital	$0	$9.1M
Mary Greeley Medical Center	IA	Land Ambulance	$0	$4.4M
The Richmond Center	IA	Mental Health Counselor	$0	$2.4M
Steven Anderson	IA	Ophthalmology Physician	$755.9K	$0
Ryan Vincent	IA	Ophthalmology Physician	$499K	$0
Brenda Burrough	IA	Hospitalist Physician	$436.9K	$0
Godfrey Thuku	IA	Physical Medicine & Rehabilitation Physician	$381.7K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$292.4K	$73.6K

Mcfarland Clinic PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References