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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZachary Alexander
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    Zachary Alexander — Billing Profile & Reimbursement Data

    NPI 1679525521 · Newton, IA · Family Medicine Physician

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    Zachary Alexander is a family medicine physician provider located in Newton, Iowa. This profile covers 49 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationZachary Alexander
    Address300 N 4th Ave E
    CityNewton
    StateIA
    ZIP50208
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 17, 2006

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

    Payer SourceTotal Paid
    Medicare$182K
    Medicaid$410

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…450$70$33.1K
    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…600$40$24.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…90$280$24.1K
    99213The 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…390$50$20.6K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.80$140$11.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…150$70$10.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…140$30$4.6K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$190$4.4K
    G0008Administration of influenza virus vaccine150$30$4.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…260$20$4.2K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538511015080$250$29.6K
    11721145160480$30$17.5K
    9132227958080$140$15.2K
    992145624,690100$70$14.4K
    9949015330130$40$9K
    4323912515050$110$8.8K
    906772572020$280$8K
    992133654,740100$50$8K
    17000235270130$30$7.3K
    9048042082090$40$5.8K

    Showing 1–10 of 49

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90460In 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.10$30$420

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90460In 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.228250240$30$72.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newton Clinic PCIAFamily Medicine Physician$0$3.3M
    Orville BunkerIAFamily Medicine Physician$203.5K$0
    Tze ChanIAInternal Medicine Physician$193.7K$0
    Patrick EdwardsIAFamily Medicine Physician$191.4K$1.3K
    Elizabeth (beth) PrestonIAFamily Medicine Physician$127.3K$0
    Laurie SiddallIAFamily Medicine Physician$115.7K$0
    Min PakIAFamily Medicine Physician$107.4K$0
    Steven HillIAFamily Medicine Physician$90.5K$0
    Duane JolivetteIAFamily Medicine Physician$81.3K$0
    Mureema SolbergIAFamily Medicine Physician$71.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Progress IndustriesIADay Training/Habilitation Specialist$0$53M
    Capstone Behavioral Healthcare, IncIACommunity/Behavioral Health Agency$0$17M
    Mercy Medical Center-newtonIAGeneral Acute Care Hospital$0$3.6M
    Newton C.s.d.IALocal Education Agency (LEA)$0$3.3M
    City Of NewtonIALand Ambulance$266.1K$2.3M
    Integrated Treatment Services LLCIACommunity/Behavioral Health Agency$0$1.4M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$1.3M
    Hy-vee IncIACommunity/Retail Pharmacy$191.8K$118.9K
    Sarah NealIAFamily Nurse Practitioner$155.3K$0
    Sean McmurrayIAPodiatrist$146.3K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Zachary Alexander — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Zachary Alexander — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa