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    OpenPayerNPI Medicare & MedicaidAndrew Cope
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    Andrew Cope — Billing Profile & Reimbursement Data

    NPI 1912134693 · Newton, IA · Family Medicine Physician

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    Andrew Cope is a family medicine physician provider located in Newton, Iowa. This profile covers 32 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Cope
    Address300 N 4th Ave E Ste 200
    CityNewton
    StateIA
    ZIP50208
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 19, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$50.8K
    Medicaid$1.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…230$80$17.3K
    99213The 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…270$60$14.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…100$40$4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…70$40$2.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$140$2.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.60$30$1.8K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…30$40$1.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.50$10$680
    0134AN/A10$40$530

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11721136160480$30$17.5K
    992141,2844,690100$70$14.4K
    99490212330130$40$9K
    992137344,740100$50$8K
    9066279995050$70$4.8K
    G00081,2191,42060$30$3.7K
    80061248360120$10$3.1K
    8444328835080$20$3.1K
    9949517425020$140$3K
    8230619523040$30$2.8K

    Showing 1–10 of 32

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.40$40$1.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.193250240$30$72.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newton Clinic PCIAFamily Medicine Physician$0$3.3M
    Orville BunkerIAFamily Medicine Physician$203.5K$0
    Tze ChanIAInternal Medicine Physician$193.7K$0
    Patrick EdwardsIAFamily Medicine Physician$191.4K$1.3K
    Zachary AlexanderIAFamily Medicine Physician$182K$410
    Elizabeth (beth) PrestonIAFamily Medicine Physician$127.3K$0
    Laurie SiddallIAFamily Medicine Physician$115.7K$0
    Min PakIAFamily Medicine Physician$107.4K$0
    Steven HillIAFamily Medicine Physician$90.5K$0
    Duane JolivetteIAFamily Medicine Physician$81.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Progress IndustriesIADay Training/Habilitation Specialist$0$53M
    Capstone Behavioral Healthcare, IncIACommunity/Behavioral Health Agency$0$17M
    Mercy Medical Center-newtonIAGeneral Acute Care Hospital$0$3.6M
    Newton C.s.d.IALocal Education Agency (LEA)$0$3.3M
    City Of NewtonIALand Ambulance$266.1K$2.3M
    Integrated Treatment Services LLCIACommunity/Behavioral Health Agency$0$1.4M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$1.3M
    Hy-vee IncIACommunity/Retail Pharmacy$191.8K$118.9K
    Sarah NealIAFamily Nurse Practitioner$155.3K$0
    Sean McmurrayIAPodiatrist$146.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Andrew Cope — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Andrew Cope — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa