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.

Dorothy Metz (NPI 1821423799)

Field	Value
Entity Type	Individual
Organization	Dorothy Metz
Address	1320 19th Ave Nw
City	Clinton
State	IA
ZIP	52732
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 10, 2013

Payer Source	Total Paid
Medicare	$11.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	180	$30	$4.8K
Q3014	Telehealth originating site facility fee	200	$20	$3.4K
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…	40	$50	$1.9K
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.	110	$10	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Dorothy Metz — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,450	4,690	100	$70	$14.4K
99213	1,288	4,740	100	$50	$8K
Q3014	4	60	60	$20	$1.5K
99211	25	160	50	$10	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Skyline Center Inc	IA	Community/Behavioral Health Agency	$0	$24.4M
Mercy Medical Center-clinton, Inc	IA	General Acute Care Hospital	$0	$14.3M
Comprehensive Rehab Incorporated	IA	Rehabilitation Clinic/Center	$0	$9M
Bridgeview Community Mental Health Center	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Arch, Inc	IA	Intellectual Disabilities Intermediate Care Facility	$0	$7M
Mercy Specialty Clinic	IA	Family Medicine Physician	$0	$6.6M
Pathway Living Center, Inc.	IA	Community/Behavioral Health Agency	$0	$6.2M
City Of Clinton	IA	Ambulance	$276.7K	$4.6M
Community Health Care Inc	IA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Clinton Community School District	IA	Local Education Agency (LEA)	$0	$3.2M

Dorothy Metz — Billing Profile & Reimbursement Data

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Dorothy Metz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References