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.

Heidi Close (NPI 1902864903)

Field	Value
Entity Type	Individual
Organization	Heidi Close
Address	405 Monroe St
City	Pella
State	IA
ZIP	50219
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 2, 2006

Payer Source	Total Paid
Medicare	$50.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	240	$60	$14.3K
99203	The provider sees a new 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 provider…	170	$70	$11.8K
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	80	$130	$9.7K
30801	In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates.	60	$150	$8.4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	90	$30	$2.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	10	$90	$1.1K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	30	$30	$840
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	40	$20	$840
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	60	$10	$550
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	20	$30	$480

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Heidi Close — 1 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
30801	7	10	80	$130	$19K
99213	856	4,740	100	$50	$8K
31579	4	10	40	$130	$7K
31575	88	90	50	$80	$4.7K
99203	51	1,600	30	$60	$3.2K
92557	84	90	110	$20	$2.9K
99212	1,209	1,240	40	$30	$2.1K
69210	42	200	30	$30	$1.9K
92567	55	90	90	$10	$1.1K
G0268	16	30	30	$30	$1.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christian Opportunity Center	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$54.1M
Pella Regional Health Center	IA	Multi-Specialty Clinic/Center	$0	$3.1M
Work Systems Rehab, PC	IA	Physical Therapist	$0	$2.4M
Pella Regional Health Center	IA	Critical Access Hospital	$0	$1.9M
Pella Csd	IA	Local Education Agency (LEA)	$0	$1.6M
City Of Pella	IA	Land Ambulance	$197.3K	$16.1K
Hy-vee Inc	IA	Community/Retail Pharmacy	$185.7K	$6.5K
Jennifer Palmer	IA	Dermatology Physician	$158.7K	$0
Patrick Dooley	IA	Physical Therapist	$145.9K	$0
Ralph Dehaan	IA	Optometrist	$33.2K	$98K

Heidi Close — Billing Profile & Reimbursement Data

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Heidi Close — 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