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    OpenPayerNPI Medicare & MedicaidKnoxville Community Hospital Inc
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    Knoxville Community Hospital Inc — Billing Profile & Reimbursement Data

    NPI 1922087915 · Knoxville, IA · Critical Access Hospital

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    Knoxville Community Hospital Inc is a critical access hospital provider located in Knoxville, Iowa. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKnoxville Community Hospital Inc
    Address1002 South Lincoln St
    CityKnoxville
    StateIA
    ZIP50138
    TaxonomyCritical Access Hospital
    NPI EnumeratedJanuary 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.3,030$90$257.9K
    99284The 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.1,810$130$226.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.3,970$50$190.3K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.2,230$50$115.8K
    85025A 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…5,290$20$105.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.8,190$10$73.7K
    99285The 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.380$170$65.4K
    0241UN/A720$60$42.2K
    86328The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…1,450$30$39.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.1,740$20$38.3K

    Showing 1–10 of 45

    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

    45 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.99280850$140$801.8K
    99285The 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.86180340$170$722K
    99283The 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.1083101,320$100$543.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7590320$120$327.7K
    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…9011,060480$40$154.5K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.140170320$20$119.2K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.6770180$60$101.5K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…2930200$110$85.8K
    0241UN/A2180290$110$85.1K
    99282The 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.131180290$70$66.9K

    Showing 1–10 of 45

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Knoxville Community Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abdelaziz ElhaddadIAMedical Oncology Physician$1.5M$0
    Knoxville Community Hospital IncIAFamily Medicine Physician$0$900.3K
    Brandon MenkeNEOphthalmology Physician$372.2K$0
    Melisa CoakerIASleep Medicine (Internal Medicine) Physician$370.4K$0
    Taylor WhittIANurse Practitioner$266.1K$0
    Kevin BirusinghIAUrology Physician$204.3K$0
    Robert JacksonMORheumatology Physician$173.3K$0
    Mark FishIAOrthopaedic Surgery Physician$167.9K$0
    Zachary RiesIAOrthopaedic Surgery Physician$167.3K$0
    Robert SmithIANephrology Physician$149.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Knoxville Community Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homestead Of Knoxville Operations LLCIAAssisted Living Facility$0$3.2M
    City Of KnoxvilleIALand Ambulance$206K$829.5K
    Community Health Services Of Marion CountyIAPublic Health or Welfare Agency$0$864.3K
    Jenny Slykhuis-mcdowellIAChiropractor$40.3K$0
    Earl WilliamsIACertified Registered Nurse Anesthetist$33.6K$0
    Shannon RemingtonIAFamily Medicine Physician$1.3K$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.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Knoxville Community Hospital Inc — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa