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.

Richard Hodge (NPI 1801874615)

Field	Value
Entity Type	Individual
Organization	Richard Hodge
Address	1100 35th St
City	Marion
State	IA
ZIP	52302
Taxonomy	Family Medicine Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$61.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	430	$80	$35.1K
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…	460	$50	$24.6K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	10	$70	$750
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	20	$30	$620
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	20	$10	$290
69209	The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.	10	$10	$160
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Richard Hodge — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	631	4,690	100	$70	$14.4K
99213	266	4,740	100	$50	$8K
12002	1	10	10	$70	$740
90715	2	10	10	$30	$380
90471	2	30	10	$10	$180
69209	43	70	10	$10	$160
93005	128	180	20	$1	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
The Finley Hospital	IA	Emergency Medicine Physician	$0	$3.9M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.8M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.1M
The Finley Hospital	IA	Family Medicine Physician	$0	$2M
St Luke's Jones Regional Medical Center	IA	Critical Access Hospital	$0	$1.5M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.5M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.4M
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$995.3K
St Luke's Jones Regional Medical Center	IA	Rural Health Clinic/Center	$0	$908K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linn-mar Community School District	IA	Local Education Agency (LEA)	$0	$12.5M
Marion Independent C.s.d.	IA	Local Education Agency (LEA)	$0	$1.9M
Mercy Physician Associates, Inc	IA	Family Medicine Physician	$0	$945.7K
Hy-vee Inc	IA	Community/Retail Pharmacy	$278.2K	$166.9K
Deepti Kurra	IA	Family Medicine Physician	$180.6K	$0
Thomas Richmann	IA	Family Medicine Physician	$155.5K	$0
Sarah Gross	IA	Dermatology Physician	$130.8K	$640
Kimberly Cruise	IA	Optometrist	$37.2K	$87.5K
David Hemmes	IA	Podiatrist	$88.7K	$0
Dennis Francis	IA	Optometrist	$60K	$23.4K

Richard Hodge — Billing Profile & Reimbursement Data

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Richard Hodge — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References