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.

Palmer Lutheran Health Center, Inc (NPI 1639533763)

Field	Value
Entity Type	Organization
Organization	Palmer Lutheran Health Center, Inc
Address	110 Jefferson St
City	West Union
State	IA
ZIP	52175
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 5, 2016

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	21,070	$280	$6M
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…	9,680	$1	$9.7K
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…	610	$10	$4.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,400	$1	$2.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	160	$10	$960
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	230	$1	$900
0011A	N/A	40	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	920	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,270	$0	$0
90474	In this procedure, the provider administers an additional live attenuated vaccine either via oral or intranasal route after the administration of the first vaccine.	90	$0	$0

Showing 1–10 of 33

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

Palmer Lutheran Health Center, Inc — 0 of 6 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	65	330	3,960	$170	$2.8M
90834	In 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…	461	680	670	$70	$343.5K
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…	178	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…	159	1,310	760	$20	$153.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	535	610	550	$70	$145.9K
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
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	388	400	110	$100	$101.1K
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…	106	190	300	$50	$91.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	109	250	110	$50	$39.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	222	460	820	$1	$19K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gundersen Lutheran Medical Center Inc	WI	General Acute Care Hospital	$0	$74.3M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Gundersen Clinic Ltd	WI	Clinic/Center	$0	$10.1M
Palmer Lutheran Health Center, Inc.	IA	Rural Health Clinic/Center	$0	$3.5M
Naila Ahmad	MD	Rheumatology Physician	$1.1M	$0
David Hei	FL	Medical Oncology Physician	$1M	$0
Adnan Kiani	IA	Rheumatology Physician	$685.6K	$0
Clarence Brown	WI	Dermatology Physician	$192.2K	$462.8K
Kelly Delaney-nelson	SD	Rheumatology Physician	$463.5K	$0
Kristie Shappell	WI	Ophthalmology Physician	$437.6K	$0

Palmer Lutheran Health Center, Inc — Billing Profile & Reimbursement Data

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Palmer Lutheran Health Center, Inc — 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