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.

Center Associates (NPI 1942251160)

Center Associates is a cognitive & behavioral psychologist provider located in Marshalltown, Iowa. This profile covers 0 Medicare and 27 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	Center Associates
Address	3809 S Center St
City	Marshalltown
State	IA
ZIP	50158
Taxonomy	Cognitive & Behavioral Psychologist
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The 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…	17,850	$170	$3M
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…	21,080	$90	$1.9M
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…	18,250	$60	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,510	$130	$694.4K
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…	9,220	$50	$488.4K
90832	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…	8,250	$50	$396K
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…	2,700	$100	$277.8K
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…	1,370	$180	$244.2K
H0037	Community psychiatric supportive treatment program, per diem	430	$390	$167.4K
H2019	Therapeutic behavioral services, per 15 minutes	2,060	$80	$158.3K

Showing 1–10 of 27

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

Center Associates — 1 of 18 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The 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…	26	60	16,120	$150	$3.8M
H2019	Therapeutic behavioral services, per 15 minutes	65	90	5,380	$100	$1.5M
H0037	Community psychiatric supportive treatment program, per diem	18	30	1,050	$210	$800.8K
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…	38	680	670	$70	$343.5K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	3	10	120	$410	$189K
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…	40	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…	167	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…	36	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…	109	610	550	$70	$145.9K
T1013	Sign language or oral interpretive services, per 15 minutes	27	30	300	$40	$112.3K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Margaret Throckmorton	TN	Psychiatric/Mental Health Nurse Practitioner	$22.6K	$0
Angela Krier	IA	Clinical Social Worker	$20.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Residential Services, Inc.	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.3M
Wolfe Clinic Inc	IA	Ophthalmology Physician	$0	$18.2M
Unitypoint Health - Marshalltown	IA	General Acute Care Hospital	$0	$15.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Marshalltown Community School District	IA	Local Education Agency (LEA)	$0	$6.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Unitypoint Health - Marshalltown	IA	Rural Health Clinic/Center	$0	$3.7M
Unitypoint Health - Marshalltown	IA	Emergency Medicine Physician	$0	$3.6M
Central Iowa Physio LLC	IA	Physical Therapy Clinic/Center	$0	$2.3M
Substance Abuse Treatment Unit Of Central Iowa	IA	Substance Abuse Rehabilitation Facility	$0	$1.6M

Center Associates — Billing Profile & Reimbursement Data

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Center Associates — 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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