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.

North Iowa Mercy Clinics (NPI 1982708566)

Field	Value
Entity Type	Organization
Organization	North Iowa Mercy Clinics
Address	910 N Eisenhower Ave
City	Mason City
State	IA
ZIP	50401
Taxonomy	Pediatric Adolescent Medicine Physician
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

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…	25,510	$30	$714.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,600	$80	$515.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,240	$70	$430.8K
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…	6,790	$40	$298.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,210	$80	$247.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,180	$90	$102.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	1,440	$60	$82K
99204	The provider sees a new 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 provider…	160	$80	$12.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$60	$3.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$90	$3.2K

Showing 1–10 of 11

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

North Iowa Mercy Clinics — 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. Iowa median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	139	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…	65	1,310	760	$20	$153.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17	170	540	$50	$101.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14	190	300	$50	$91.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	150	210	170	$60	$50.6K
99204	The provider sees a new 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 provider…	108	250	110	$80	$47.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	19	100	130	$40	$44.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	16	250	110	$50	$39.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	70	30	$110	$22.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	22	290	100	$40	$17.2K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Iowa Mercy Clinics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Services-iowa Corp	IA	Rural Acute Care Hospital	$0	$45.7M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Palo Alto County Hospital	IA	Rural Health Clinic/Center	$0	$4.7M
North Iowa Mercy Clinics	IA	Emergency Medicine Physician	$0	$3.9M
North Iowa Mercy Clinics	IA	Cardiovascular Disease Physician	$0	$2.7M
Amad Zineldine	AZ	Cardiovascular Disease Physician	$587K	$0
Yen Chen Liu	IA	Dermatology Physician	$403.4K	$0
Kyle Ulveling	IA	Cardiovascular Disease Physician	$325.1K	$0
Rakshak Sarda	IA	Cardiovascular Disease Physician	$320.7K	$0
Kevin Orcutt	IA	Radiation Oncology Physician	$297.2K	$0

Nearby Providers

Other providers in the same ZIP code as North Iowa Mercy Clinics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prairie Ridge Integrated Behavioral Healthcare	IA	Substance Abuse Rehabilitation Facility	$0	$24.2M
North Iowa Vocational Center	IA	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Mason City Community School District	IA	Local Education Agency (LEA)	$0	$6.8M
Community Health Center Of Fort Dodge, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$6.4M
City Of Mason City	IA	Land Ambulance	$616.5K	$4.3M
Todd Hoeppner	IA	Pediatric Dentistry	$0	$4.8M
North Iowa Transition Center	IA	Community/Behavioral Health Agency	$0	$3.7M
Mason City Ambulatory Surgery Center, LLC	IA	Ambulatory Surgical Clinic/Center	$2.2M	$422.9K
Good Shepherd Geriatric Center, Inc.	IA	Assisted Living Facility	$0	$2.5M
Turning Leaf Counseling, Inc	IA	Mental Health Counselor	$0	$2.1M

North Iowa Mercy Clinics — Billing Profile & Reimbursement Data

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North Iowa Mercy Clinics — 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