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    OpenPayerNPI Medicare & MedicaidBroadlawns Medical Center
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    Broadlawns Medical Center — Billing Profile & Reimbursement Data

    NPI 1669784104 · Des Moines, IA · Community/Behavioral Health Agency

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    Broadlawns Medical Center is a community/behavioral health agency provider located in Des Moines, Iowa. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBroadlawns Medical Center
    Address1801 Hickman Rd
    CityDes Moines
    StateIA
    ZIP50314
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJuly 13, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…68,420$180$12.6M
    H2016Comprehensive community support services, per diem11,260$60$619.2K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…110$0$0
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…690$0$0
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)13,420$0$0
    G9008Coordinated care fee, physician coordinated care oversight services44,900$0$0
    H0038Self‑help/peer services, per 15 minutes5,190$0$0
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan120$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem8318010,790$390$15.2M
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…66016,120$150$3.8M
    H0038Self‑help/peer services, per 15 minutes19602,820$10$53.5K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)5402,500$1$2.9K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…1420420$1$80
    G9008Coordinated care fee, physician coordinated care oversight services5409,040$1$70
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…25402,190$1$40
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan2330700$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadlawns Medical CenterIAGeneral Acute Care Hospital$0$112.9M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Broadlawns Medical CenterIANurse Practitioner$0$4.2M
    Broadlawns Medical CenterIADentist$0$2.4M
    Bradley HiattIAMedical Oncology Physician$2.2M$0
    Broadlawns Medical CenterIAPsychiatric Hospital Unit$0$1.7M
    Broadlawns Medical CenterIACommunity/Behavioral Health Agency$0$1.5M
    David SosnouskiIADiagnostic Radiology Physician$592.7K$0
    Robert ConnerIAGeriatric Medicine (Family Medicine) Physician$590.2K$0
    Luke BolekFLDiagnostic Radiology Physician$573.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Broadlawns Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives-iowa CorpIAGeneral Acute Care Hospital$0$26.4M
    Des Moines Independent Community School DistrictIALocal Education Agency (LEA)$0$22.8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$14.1M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$8.1M
    Catholic Health Initiatives-iowa CorpIAClinical Medical Laboratory$0$8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.9M
    Vita Health ServicesIAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.5M
    House Of MercyIASubstance Abuse Rehabilitation Facility$0$7.4M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Broadlawns Medical Center — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa