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.

Cass County Memorial Hospital (NPI 1699976696)

Field	Value
Entity Type	Organization
Organization	Cass County Memorial Hospital
Address	1501 E 10th St
City	Atlantic
State	IA
ZIP	50022
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 29, 2007

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	75,630	$120	$9M
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…	47,530	$1	$142.6K
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…	10,000	$1	$30K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,160	$10	$10.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	990	$10	$9.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	880	$10	$7.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,140	$1	$6.1K
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,…	5,360	$1	$5.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,150	$1	$4.3K
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…	600	$1	$1.8K

Showing 1–10 of 46

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

Cass County Memorial Hospital — 4 of 24 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	330	3,960	$170	$2.8M
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…	93	1,060	480	$40	$154.5K
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…	28	1,310	760	$20	$153.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	32	170	540	$50	$101.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	34	190	300	$50	$91.7K
90460	In 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.	112	250	240	$30	$72.7K
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…	70	210	170	$60	$50.6K
99204	The provider sees a new 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 provider…	168	250	110	$80	$47.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	89	110	400	$10	$44.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	45	250	110	$50	$39.9K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cass County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cass County Memorial Hospital	IA	Critical Access Hospital	$0	$3.1M
Sakeer Hussain	IA	Hematology & Oncology Physician	$1.9M	$0
Thomas Schmidt	IA	Rheumatology Physician	$773.8K	$0
Helen Fasanya-uptagraft	NE	Gastroenterology Physician	$422.4K	$0
Benjamin Hall	NE	Gastroenterology Physician	$388.6K	$0
Jean Thomsen	IA	Anatomic Pathology & Clinical Pathology Physician	$346.3K	$30.2K
Stephen Slade	IA	Rheumatology Physician	$367.5K	$0
Gino Chesini	IA	Rheumatology Physician	$272K	$0
Mark Kellerman	IA	Urology Physician	$210K	$0
Kevin Birusingh	IA	Urology Physician	$204.3K	$0

Nearby Providers

Other providers in the same ZIP code as Cass County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunshine Homes Inc	IA	Mental Illness Community Based Residential Treatment Facility	$0	$9.4M
Partnership For Progress	IA	Mental Illness Community Based Residential Treatment Facility	$0	$6.1M
Zion Integrated Behavioral Health Services Inc.	IA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.7M
Southwest Iowa Mental Health Center	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.7M
Therapy Place, Inc.	IA	Clinical Social Worker	$0	$2.4M
Home Sweet Home Care Inc.	IA	Home Health Agency	$0	$1.6M
Jeffrey Goergen	IA	Optometrist	$177.8K	$17.5K
Cynthia Wu	IA	Family Nurse Practitioner	$32K	$0
Sarah Herzberg	IA	Counseling Psychologist	$26.9K	$0

Cass County Memorial Hospital — Billing Profile & Reimbursement Data

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Cass County Memorial Hospital — 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