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.

Greater Regional Medical Center (NPI 1902805062)

Greater Regional Medical Center is a critical access hospital provider located in Creston, Iowa. This profile covers 0 Medicare and 144 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	Greater Regional Medical Center
Address	1700 W Townline St
City	Creston
State	IA
ZIP	50801
Taxonomy	Critical Access Hospital
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

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

144 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	11,860	$190	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13,510	$160	$2.2M
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…	54,620	$30	$1.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,490	$270	$674.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	46,730	$10	$467.3K
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…	9,460	$40	$359.4K
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…	7,100	$40	$276.9K
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.	15,770	$10	$220.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	9,600	$20	$163.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,690	$40	$162.1K

Showing 1–10 of 144

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

Greater Regional Medical Center — 3 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

144 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	70	1,440	$90	$2.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	45	280	850	$140	$801.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	53	180	340	$170	$722K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	42	310	1,320	$100	$543.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29	90	320	$120	$327.7K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	43	50	130	$320	$224.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	58	60	210	$80	$186.8K
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…	106	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…	99	1,060	480	$40	$154.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	46	50	170	$410	$153.8K

Showing 1–10 of 144

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christian Schultheis	IA	Medical Oncology Physician	$1.5M	$0
Mathew Wehbe	IA	Medical Oncology Physician	$1M	$0
Wallace Nozile	DC	Dermatology Physician	$323.1K	$0
Allan Latcham	IA	Cardiovascular Disease Physician	$199.4K	$0
John Martens	IA	Radiation Oncology Physician	$176.9K	$0
George Voynov	IA	Radiation Oncology Physician	$156.2K	$0
Jon Scheiber	RI	Cardiovascular Disease Physician	$142.1K	$0
James Smith	NE	Diagnostic Radiology Physician	$135.4K	$0
Adam Gliniewicz	IA	Radiation Oncology Physician	$105K	$0
David Wonnell	IA	Physician Assistant	$84.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Iowa Resources For Families, Inc	IA	Voluntary or Charitable Agency	$0	$18.5M
Crossroads Behavioral Health Services	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.5M
Innovative Industries Inc.	IA	Community/Behavioral Health Agency	$0	$5.2M
Homestead Of Creston Operations LLC	IA	Assisted Living Facility	$0	$1.9M
Visiting Nurse Services Of Iowa	IA	Home Health Agency	$0	$1.1M
Brian Kinkade	IA	Optometrist	$17.5K	$407.1K
Hy-vee Inc	IA	Community/Retail Pharmacy	$183K	$47.4K
Jane Brown	IA	Physical Therapist	$63.4K	$0
Steven Reeves	IA	Internal Medicine Physician	$14.8K	$0

Greater Regional Medical Center — Billing Profile & Reimbursement Data

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Greater Regional Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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