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.

Mid-iowa Community Action, Inc (NPI 1790882199)

Field	Value
Entity Type	Organization
Organization	Mid-iowa Community Action, Inc
Address	1001 S 18th Ave
City	Marshalltown
State	IA
ZIP	50158
Taxonomy	Community Health Clinic/Center
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$877.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0190	N/A	14,050	$20	$210.8K
D1330	N/A	10,210	$20	$153.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,600	$10	$148.4K
D1351	Sealant - per tooth	3,080	$40	$120.1K
G0451	Development testing, with interpretation and report, per standardized instrument form	2,160	$50	$114.3K
D1310	N/A	5,680	$20	$90.8K
D0602	N/A	13,680	$1	$13.7K
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.	770	$10	$9.9K
D0145	N/A	530	$20	$9.5K
96161	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient's caregiver, analyzes the results, assigns a score, and documents the findings. Use this code…	780	$10	$3.9K

Showing 1–10 of 12

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

Mid-iowa Community Action, Inc — 4 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	66	170	320	$20	$119.2K
G0451	Development testing, with interpretation and report, per standardized instrument form	6	20	750	$60	$92K
D0190	N/A	4	50	1,210	$20	$64.9K
D1351	Sealant - per tooth	44	190	750	$20	$60.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	31	630	500	$10	$33.3K
D1330	N/A	4	80	310	$10	$18.2K
D1310	N/A	2	40	180	$10	$14.1K
D0145	N/A	17	60	150	$20	$10.5K
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	51	120	450	$1	$2.4K
D0602	N/A	4	100	420	$1	$2.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Mid-iowa Community Action, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Residential Services, Inc.	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.3M
Wolfe Clinic Inc	IA	Ophthalmology Physician	$0	$18.2M
Unitypoint Health - Marshalltown	IA	General Acute Care Hospital	$0	$15.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Center Associates	IA	Cognitive & Behavioral Psychologist	$0	$8.8M
Marshalltown Community School District	IA	Local Education Agency (LEA)	$0	$6.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Unitypoint Health - Marshalltown	IA	Rural Health Clinic/Center	$0	$3.7M
Unitypoint Health - Marshalltown	IA	Emergency Medicine Physician	$0	$3.6M
Central Iowa Physio LLC	IA	Physical Therapy Clinic/Center	$0	$2.3M

Mid-iowa Community Action, Inc — Billing Profile & Reimbursement Data

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Mid-iowa Community Action, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References