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.

Newton Clinic PC (NPI 1730115213)

Newton Clinic PC is a family medicine physician provider located in Newton, Iowa. This profile covers 0 Medicare and 78 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Newton Clinic PC
Address	300 N 4th Ave E
City	Newton
State	IA
ZIP	50208
Taxonomy	Family Medicine Physician
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

78 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…	58,870	$30	$1.9M
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…	10,450	$50	$470.1K
0241U	N/A	1,140	$130	$150.3K
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.	8,950	$20	$143.2K
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…	1,450	$60	$81.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	750	$80	$59.6K
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…	650	$70	$45.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	400	$110	$42.9K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2,340	$20	$37.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	4,550	$10	$36.4K

Showing 1–10 of 78

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

Newton Clinic PC — 5 of 25 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The 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…	38	60	16,120	$150	$3.8M
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…	85	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…	20	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…	50	170	540	$50	$101.2K
G0451	Development testing, with interpretation and report, per standardized instrument form	16	20	750	$60	$92K
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…	74	190	300	$50	$91.7K
0241U	N/A	15	80	290	$110	$85.1K
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.	13	250	240	$30	$72.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	44	60	320	$30	$72.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	44	60	300	$30	$71.8K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Progress Industries	IA	Day Training/Habilitation Specialist	$0	$53M
Capstone Behavioral Healthcare, Inc	IA	Community/Behavioral Health Agency	$0	$17M
Mercy Medical Center-newton	IA	General Acute Care Hospital	$0	$3.6M
Newton C.s.d.	IA	Local Education Agency (LEA)	$0	$3.3M
City Of Newton	IA	Land Ambulance	$266.1K	$2.3M
Integrated Treatment Services LLC	IA	Community/Behavioral Health Agency	$0	$1.4M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$1.3M
Hy-vee Inc	IA	Community/Retail Pharmacy	$191.8K	$118.9K
Sarah Neal	IA	Family Nurse Practitioner	$155.3K	$0
Sean Mcmurray	IA	Podiatrist	$146.3K	$0

Newton Clinic PC — Billing Profile & Reimbursement Data

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Newton Clinic PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orville Bunker	IA	Family Medicine Physician	$203.5K	$0
Tze Chan	IA	Internal Medicine Physician	$193.7K	$0
Patrick Edwards	IA	Family Medicine Physician	$191.4K	$1.3K
Zachary Alexander	IA	Family Medicine Physician	$182K	$410
Elizabeth (beth) Preston	IA	Family Medicine Physician	$127.3K	$0
Laurie Siddall	IA	Family Medicine Physician	$115.7K	$0
Min Pak	IA	Family Medicine Physician	$107.4K	$0
Steven Hill	IA	Family Medicine Physician	$90.5K	$0
Duane Jolivette	IA	Family Medicine Physician	$81.3K	$0
Mureema Solberg	IA	Family Medicine Physician	$71.8K	$0