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.

Debra Adams (NPI 1659659324)

Field	Value
Entity Type	Individual
Organization	Debra Adams
Address	802 Kenyon Rd
City	Fort Dodge
State	IA
ZIP	50501
Taxonomy	Nurse Practitioner
NPI Enumerated	July 29, 2011

Payer Source	Total Paid
Medicare	$20.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	120	$40	$5.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$90	$4.6K
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…	70	$60	$4.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	110	$40	$4K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	20	$60	$1.3K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	50	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Debra Adams — 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,802	4,690	100	$70	$14.4K
99213	1,923	4,740	100	$50	$8K
11042	46	120	90	$50	$7.9K
99215	420	1,220	30	$110	$6.4K
15275	8	10	50	$100	$6K
97597	43	80	50	$40	$4.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Debra Adams, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M
Boris Naydich	MD	Radiation Oncology Physician	$892.3K	$0
Joshua Lukenbill	IA	Medical Oncology Physician	$534.1K	$0
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Matthew Carpenter	IL	Radiation Oncology Physician	$420.8K	$0
Robert Isaak	IA	Radiation Oncology Physician	$172.7K	$0

Nearby Providers

Other providers in the same ZIP code as Debra Adams, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Central Industries	IA	Community/Behavioral Health Agency	$0	$29.5M
Community Health Center Of Fort Dodge Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$23.6M
Community And Family Resources	IA	Substance Abuse Rehabilitation Facility	$0	$21M
North Central Iowa Mental Health Center Inc	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
Community School District	IA	Local Education Agency (LEA)	$0	$15.1M
Trinity Regional Medical Center	IA	General Acute Care Hospital	$0	$12.3M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$6.4M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Fort Dodge Ywca Women's Halfway House	IA	Substance Abuse Rehabilitation Facility	$0	$5.7M

Debra Adams — Billing Profile & Reimbursement Data

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Debra Adams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References