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.

Iowa Physicians Clinic Medical Foundation (NPI 1982831426)

Field	Value
Entity Type	Organization
Organization	Iowa Physicians Clinic Medical Foundation
Address	1518 Mulberry Avenue
City	Muscatine
State	IA
ZIP	52761
Taxonomy	General Practice Physician
NPI Enumerated	June 11, 2009

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 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…	15,390	$30	$507.7K
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…	5,630	$40	$241.9K
90460	In 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.	1,700	$50	$76.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	650	$80	$53K
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…	820	$60	$50.7K
J1050	Injection, medroxyprogesterone acetate, 1 mg	580	$60	$36.9K
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…	440	$70	$32K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,890	$10	$31.8K
99203	The provider sees a new 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 provider…	400	$60	$23.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	770	$20	$18.4K

Showing 1–10 of 46

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

Iowa Physicians Clinic Medical Foundation — 0 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

46 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…	159	1,060	480	$40	$154.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	43	50	170	$410	$153.8K
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…	117	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…	73	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…	86	190	300	$50	$91.7K
90460	In 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.	46	250	240	$30	$72.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	27	60	460	$40	$64K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	172	180	220	$40	$56.6K
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…	93	210	170	$60	$50.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	127	180	230	$10	$44.9K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Iowa Physicians Clinic Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$102.7M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
St Luke's Methodist Hospital	IA	General Acute Care Hospital	$0	$36.2M
Central Iowa Hospital Corporation	IA	Clinical Medical Laboratory	$3M	$26.7M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$16.5M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$14.7M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.8M
Unity Healthcare	IA	General Acute Care Hospital	$0	$12.7M

Nearby Providers

Other providers in the same ZIP code as Iowa Physicians Clinic Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Inc.	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.1M
Unity Healthcare	IA	Rural Health Clinic/Center	$0	$8.7M
Unity Healthcare	IA	Rural Health Clinic/Center	$0	$5.1M
City Of Muscatine	IA	Land Ambulance	$497.3K	$3.9M
Unity Healthcare	IA	Rural Health Clinic/Center	$0	$3.8M
Unity Healthcare	IA	Rural Health Clinic/Center	$0	$3.8M
Muscatine Community School District	IA	Local Education Agency (LEA)	$0	$2.3M
Nathan Olson	IA	General Practice Dentistry	$0	$2M
Community Health Care Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.9M
Arctic Dental, Plc	IA	Dental Clinic/Center	$0	$1.8M

Iowa Physicians Clinic Medical Foundation — Billing Profile & Reimbursement Data

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Iowa Physicians Clinic Medical Foundation — 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