Physician
The Iowa Clinic PC
The Iowa Clinic PC was paid $5.37M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 11% of everything it billed.
33Billing provider infoTHE IOWA CLINIC PC
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1346233178assigned 08/26/2005
33bProvider typeInternal Medicine Physician
28Total paid$5.37M
24GClaims132,826
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Iowa
Rank by total paid#3 of 65
Median peer was paid$11K
This provider vs. median481×
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 | 17,911 | $526K | |
| 2019 | 20,357 | $644K | |
| 2020 | 14,320 | $644K | |
| 2021 | 22,279 | $1.02M | |
| 2022 | 26,364 | $1.16M | |
| 2023 | 23,878 | $1.05M | |
| 2024incomplete | 7,717 | $330K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 21,409 | 19,420 | $574K |
| 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 | 11% | 17,106 | 15,726 | $568K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 9.6% | 5,548 | 2,578 | $514K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.5% | 6,518 | 6,185 | $402K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.7% | 3,930 | 3,689 | $358K |
| 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 throughput technologies as described by cms-2020-01-r | 6.2% | 4,208 | 4,007 | $332K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.9% | 3,880 | 3,601 | $264K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.9% | 4,662 | 2,690 | $210K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 1,991 | 1,916 | $180K |
| 95886 | 3.1% | 1,772 | 1,710 | $165K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.8% | 849 | 834 | $149K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 2,660 | 2,472 | $135K |
95 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.3% | 2,703 | $123K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.3% | 2,698 | $122K |
| 92567 | 1.8% | 5,926 | $96K | |
| 88342 | 1.6% | 1,040 | $84K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 1,232 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 3,085 | $78K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 1,726 | $77K |
| 92587 | 1.4% | 1,703 | $74K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.3% | 662 | $68K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 3,390 | $66K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 1.2% | 2,877 | $64K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 1.1% | 1,511 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 736 | $54K |
| 95909 | <1% | 384 | $38K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 856 | $36K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,070 | $35K |
| 95117 | <1% | 2,188 | $33K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,373 | $29K |
| 93971 | <1% | 544 | $26K | |
| 93970 | <1% | 368 | $26K | |
| 94010 | <1% | 1,643 | $24K | |
| 99201 | <1% | 542 | $16K | |
| 90461 | <1% | 1,105 | $16K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 886 | $15K |
| 51798 | <1% | 1,603 | $13K | |
| 94729 | <1% | 518 | $12K | |
| 76813 | <1% | 103 | $11K | |
| 93299 | <1% | 164 | $10K | |
| 0001A | <1% | 214 | $8K | |
| 95912 | <1% | 39 | $8K | |
| 0002A | <1% | 193 | $8K | |
| 90686 | <1% | 1,222 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,839 | $7K |
| 59025 | Fetal non-stress test | <1% | 242 | $7K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 26 | $6K |
| 87428 | <1% | 42 | $6K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 73 | $6K |
| 93922 | <1% | 352 | $6K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 115 | $5K |
| 11721 | <1% | 246 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 315 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 408 | $4K |
| 88112 | <1% | 121 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 38 | $3K |
| 81003 | <1% | 1,424 | $3K | |
| 93458 | <1% | 15 | $3K | |
| 73630 | <1% | 128 | $2K | |
| 93000 | <1% | 155 | $2K | |
| 90670 | <1% | 393 | $2K | |
| 93296 | <1% | 200 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $2K |
| 93297 | <1% | 164 | $2K | |
| 93295 | <1% | 55 | $2K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 12 | $2K |
| 69210 | <1% | 43 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 75 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 54 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $1K |
| 92557 | <1% | 30 | $998.40 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $958.47 |
| 99152 | <1% | 91 | $937.95 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 18 | $884.82 |
| 10040 | <1% | 15 | $815.98 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 84 | $719.39 |
| 0071A | <1% | 16 | $654.40 | |
| 0072A | <1% | 16 | $653.20 | |
| 94727 | <1% | 41 | $605.80 | |
| 0004A | <1% | 14 | $567.20 | |
| 90723 | <1% | 192 | $536.88 | |
| 90680 | <1% | 172 | $502.08 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $480.08 |
| 93298 | <1% | 27 | $469.23 | |
| 88304 | <1% | 14 | $456.78 | |
| 73620 | <1% | 21 | $410.75 | |
| 81025 | <1% | 55 | $392.21 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $387.72 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 17 | $382.77 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 71 | $372.97 |
| 86317 | <1% | 15 | $281.38 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 14 | $269.34 |
| 93227 | <1% | 14 | $266.75 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 42 | $265.47 |
| 80061 | Lipid panel | <1% | 12 | $232.92 |
| 86780 | <1% | 14 | $222.25 | |
| 85027 | <1% | 27 | $200.37 | |
| 87340 | <1% | 14 | $167.63 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 98 | $130.94 |
| 85018 | <1% | 44 | $119.59 | |
| 90688 | <1% | 25 | $90.00 | |
| 81001 | <1% | 32 | $85.03 | |
| 90656 | <1% | 13 | $68.12 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $45.57 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $42.38 |
| 90647 | <1% | 57 | $20.91 |
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 officialBARP, ERIC (CHAIR)
| Provider | Location | Paid |
|---|---|---|
| West Lakes Sleep Center, LLC | West Des Moines, IA | $515K |
| The Iowa Clinic Endoscopy Center LLC | West Des Moines, IA | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.