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.

Northwest Iowa Hospital Corporation (NPI 1962594622)

Field	Value
Entity Type	Organization
Organization	Northwest Iowa Hospital Corporation
Address	2720 Stone Park Blvd
City	Sioux City
State	IA
ZIP	51104
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$22.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

145 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.	26,960	$260	$6.9M
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.	32,840	$170	$5.6M
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.	60,880	$30	$1.5M
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.	3,700	$390	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,940	$120	$1.4M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	9,880	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7,830	$90	$681.6K
0241U	N/A	5,270	$110	$574.1K
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…	6,200	$70	$452.3K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	150	$1,800	$276.7K

Showing 1–10 of 145

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

Northwest Iowa Hospital Corporation — 8 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

145 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	17	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.	20	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.	46	180	340	$170	$722K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	51	60	2,110	$70	$570.5K
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.	8	310	1,320	$100	$543.4K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	3	10	110	$2,080	$475.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3	90	320	$120	$327.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	32	40	900	$90	$249.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	101	120	980	$50	$230.3K
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…	15	50	130	$320	$224.4K

Showing 1–10 of 145

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Iowa Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Washington Hospital Inc.	VA	General Acute Care Hospital	$0	$80.1M
Northwest Iowa Hospital Corporation	IA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.9M
Donald Wender	IA	Hematology & Oncology Physician	$2.6M	$0
Nibash Budhathoki	MO	Hematology & Oncology Physician	$2.2M	$0
Lisa Chaiken	CA	Radiation Oncology Physician	$1.6M	$0
Chandana Javvaji	IA	Hematology & Oncology Physician	$1.6M	$0
Jason Bailey	CA	Diagnostic Radiology Physician	$848.4K	$20
Curtis Burhoop	NE	Diagnostic Radiology Physician	$687.7K	$0
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Robert Percell	NE	Clinical Cardiac Electrophysiology Physician	$431.8K	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Iowa Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simple Life, Inc.	IA	Community/Behavioral Health Agency	$0	$5.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$5M
Opportunities Unlimited	IA	Child Mental Illness Respite Care	$0	$2.8M
Anesthesia Consultants PC	IA	Anesthesiology Physician	$0	$1.9M
Siouxland Dental Health	IA	Dentist	$0	$1.8M
Pierce Street Same Day Surgery, Lc	IA	Ambulatory Surgical Clinic/Center	$633.9K	$1.1M
Siouxland Medical Education Foundation, Inc	IA	Family Medicine Physician	$0	$1.3M
Siouxland Hospitalists PLLC	IA	Internal Medicine Physician	$0	$1.1M
Family Service's Inc	IA	Psychiatry Physician	$0	$1.1M
Pathology Medical Services Of Siouxland PC	IA	Anatomic Pathology & Clinical Pathology Physician	$0	$1M

Northwest Iowa Hospital Corporation — Billing Profile & Reimbursement Data

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Northwest Iowa Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References