Physician
Family Medicine Clinic, PC
Family Medicine Clinic, PC was paid $7.18M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoFAMILY MEDICINE CLINIC, PC
ONAWA, IA 51040
ONAWA, IA 51040
33aNPI1063418820assigned 06/24/2005
33bProvider typeFamily Medicine Physician
28Total paid$7.18M
24GClaims118,214
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#12 of 275
Median peer was paid$69K
This provider vs. median104×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,287 | $939K | |
| 2019 | 19,354 | $1.07M | |
| 2020 | 15,387 | $913K | |
| 2021 | 16,687 | $1.05M | |
| 2022 | 17,525 | $1.09M | |
| 2023 | 18,152 | $1.14M | |
| 2024incomplete | 14,822 | $986K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 50,743 | 38,894 | $7.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 30,310 | 24,398 | $50K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 10,018 | 8,816 | $13K |
| 99307 | <1% | 1,581 | 1,249 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,538 | 1,470 | $1K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 24 | 24 | $601.65 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | 46 | $561.12 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 12 | 12 | $421.87 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,074 | 1,016 | $318.56 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,302 | 1,270 | $316.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,135 | 4,039 | $19.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 246 | 233 | $0.26 |
27 more codes
| 81003 | 0% | 3,540 | $0.00 | |
| 80061 | Lipid panel | 0% | 1,345 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 783 | $0.00 |
| 81025 | 0% | 547 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,052 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 44 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 310 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 478 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 551 | $0.00 |
| 83655 | 0% | 70 | $0.00 | |
| 59426 | 0% | 55 | $0.00 | |
| 82570 | 0% | 12 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 24 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 47 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,079 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 2,270 | $0.00 |
| 90474 | 0% | 247 | $0.00 | |
| 82044 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 151 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,754 | $0.00 |
| 36416 | 0% | 620 | $0.00 | |
| 90686 | 0% | 779 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 28 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 208 | $0.00 |
| 85018 | 0% | 53 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 55 | $0.00 |
| 90656 | 0% | 67 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDUDLEY, PAUL (PRESIDENT)