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.

Ottumwa Health Group LLC (NPI 1649891722)

Field	Value
Entity Type	Organization
Organization	Ottumwa Health Group LLC
Address	1013 Pennsylvania Ave Ste E
City	Ottumwa
State	IA
ZIP	52501
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 30, 2020

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	12,000	$100	$1.1M
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…	10,640	$1	$10.6K
99203	The provider sees a new 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 provider…	450	$1	$450
1159F	No Summary found for this code	10	$0	$0
1160F	No Summary found for this code	10	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	550	$0	$0
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	170	$0	$0
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	70	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	290	$0	$0
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	50	$0	$0

Showing 1–10 of 13

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

Ottumwa Health Group LLC — 0 of 3 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	98	330	3,960	$170	$2.8M
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…	152	1,310	760	$20	$153.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	48	80	240	$60	$51.1K
99203	The provider sees a new 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 provider…	115	430	110	$50	$36.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	63	120	180	$30	$21.4K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	116	300	250	$10	$19.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	95	260	140	$10	$11.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	340	440	150	$10	$7.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	114	260	200	$10	$6.1K
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	42	80	50	$10	$2K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ottumwa Health Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ottumwa Health Group LLC	IA	Gynecology Physician	$0	$2.2M
Aneley Hundae	FL	Cardiovascular Disease Physician	$604.9K	$0
Jonathon Hennings	IA	Nurse Practitioner	$483.7K	$0
Melisa Coaker	IA	Sleep Medicine (Internal Medicine) Physician	$370.4K	$0
Mudassir Malik	IA	Advanced Heart Failure and Transplant Cardiology Physician	$208.6K	$200
Nathan Nicholson	IA	Orthopaedic Surgery Physician	$198.9K	$0
Michelle Schofield	AL	Psychiatry Physician	$17.9K	$123.6K
Aaron From	IA	Interventional Cardiology Physician	$129.6K	$0
Bradley Scott	IN	Family Medicine Physician	$117.2K	$0
Shawn Dawson	IA	Family Medicine Physician	$114K	$0

Nearby Providers

Other providers in the same ZIP code as Ottumwa Health Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Hills Community Health Center Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$77.5M
American Baptist Homes Of The Midwest	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.7M
Southern Iowa Mental Health Center	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$650	$17.5M
Tenco, Industries, Inc.	IA	Community/Behavioral Health Agency	$0	$13.5M
Rchp Ottumwa LLC	IA	General Acute Care Hospital	$0	$9.6M
Ottumwa Community School District	IA	Local Education Agency (LEA)	$0	$8.5M
Pella Regional Health Center	IA	Rural Health Clinic/Center	$0	$5.3M
Milestones Area Agency On Aging	IA	Home Delivered Meals	$0	$3.2M
Southern Iowa Economic Development Assoc	IA	Addiction (Substance Use Disorder) Counselor	$0	$2.6M
Mercy Medical Center-centerville	IA	Multi-Specialty Clinic/Center	$0	$2.6M

Ottumwa Health Group LLC — Billing Profile & Reimbursement Data

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Ottumwa Health Group LLC — 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

Nearby Providers

Frequently Asked Questions

References