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.

Visiting Nurse Services Of Iowa (NPI 1679606990)

Field	Value
Entity Type	Organization
Organization	Visiting Nurse Services Of Iowa
Address	3000 Easton Blvd
City	Des Moines
State	IA
ZIP	50317
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	6,740	$100	$694.6K
T1013	Sign language or oral interpretive services, per 15 minutes	1,940	$70	$135.6K
D0190	N/A	7,400	$20	$110.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,990	$10	$90.8K
D1330	N/A	1,240	$20	$18.6K
D1310	N/A	1,080	$20	$16.2K
G0451	Development testing, with interpretation and report, per standardized instrument form	250	$60	$14K
D0602	N/A	6,750	$1	$6.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	410	$20	$6.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	90	$50	$5K

Showing 1–10 of 14

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

Visiting Nurse Services Of Iowa — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2	10	880	$80	$329.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	78	170	320	$20	$119.2K
T1013	Sign language or oral interpretive services, per 15 minutes	8	30	300	$40	$112.3K
G0451	Development testing, with interpretation and report, per standardized instrument form	13	20	750	$60	$92K
D0190	N/A	15	50	1,210	$20	$64.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	115	180	220	$40	$56.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	54	630	500	$10	$33.3K
D1330	N/A	25	80	310	$10	$18.2K
D1310	N/A	11	40	180	$10	$14.1K
D0145	N/A	55	60	150	$20	$10.5K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Visiting Nurse Services Of Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visiting Nurse Services Of Iowa	IA	Home Health Agency	$0	$1.1M

Nearby Providers

Other providers in the same ZIP code as Visiting Nurse Services Of Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$15.6M
Behavioral Technologies, Corp	IA	Intellectual Disabilities Intermediate Care Facility	$0	$1.3M
Hy-vee Inc	IA	Community/Retail Pharmacy	$164.3K	$205K
Ricky Schad	IA	Chiropractor	$27.8K	$0
Meghan Mueller	IA	Physical Therapist	$16.8K	$0
Erika Sibley	IA	Occupational Therapist	$12.2K	$0
Leatrice Olson	IA	Internal Medicine Physician	$6.8K	$0

Visiting Nurse Services Of Iowa — Billing Profile & Reimbursement Data

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Visiting Nurse Services Of Iowa — 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