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.

Allen Memorial Hospital Corporation (NPI 1891772927)

Field	Value
Entity Type	Organization
Organization	Allen Memorial Hospital Corporation
Address	233 Vold Dr
City	Waterloo
State	IA
ZIP	50703
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H1003	Prenatal care, at-risk enhanced service; education	5,120	$70	$373.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,070	$30	$245K
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…	6,230	$30	$211.7K
H0046	Mental health services, not otherwise specified	4,790	$40	$210.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,320	$100	$134.6K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2,600	$50	$129.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,360	$80	$110.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	4,550	$20	$100.1K
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…	3,150	$30	$88.1K
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…	1,040	$70	$77.2K

Showing 1–10 of 39

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

Allen Memorial Hospital Corporation — 2 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	556	680	670	$70	$343.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16	120	1,100	$30	$162.6K
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…	147	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…	364	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	38	140	210	$120	$152.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	549	610	550	$70	$145.9K
T1013	Sign language or oral interpretive services, per 15 minutes	26	30	300	$40	$112.3K
H0046	Mental health services, not otherwise specified	3	30	520	$80	$108.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	234	400	110	$100	$101.1K
H1003	Prenatal care, at-risk enhanced service; education	2	20	490	$70	$89.1K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$102.7M
Allen Memorial Hospital Corporation	IA	General Acute Care Hospital	$0	$21.9M
Unitypoint Health - Marshalltown	IA	General Acute Care Hospital	$0	$15.9M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.8M
The Robert Young Center For Community Mental Health	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.5M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
Allen Memorial Hospital Corporation	IA	Emergency Medicine Physician	$0	$6.9M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M
Unitypoint Health - Marshalltown	IA	Rural Health Clinic/Center	$0	$3.7M
Unitypoint Health - Marshalltown	IA	Emergency Medicine Physician	$0	$3.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoples Community Health Clinic, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$44.8M
Exceptional Persons Inc	IA	Mental Illness Community Based Residential Treatment Facility	$0	$17.2M
City Of Waterloo	IA	Land Ambulance	$525.8K	$15.3M
Bakari Behavioral Health Inc.	IA	Community/Behavioral Health Agency	$0	$6.1M
Iowa Northland Regional Transit Commission	IA	Bus	$0	$2.8M
North Iowa Juvenile Detention Services	IA	Mental Illness Community Based Residential Treatment Facility	$0	$2.3M
Open Arms Home Health Care - Waterloo, LLC	IA	Home Health Agency	$0	$1M
Joud Dib	IA	Cardiovascular Disease Physician	$366.7K	$0
Himanshu Tandon	IA	Cardiovascular Disease Physician	$306.9K	$0
Frank Haugland	IA	Clinical Cardiac Electrophysiology Physician	$232.2K	$0

Allen Memorial Hospital Corporation — 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