Physician
Jordan Creek Family Medical Clinic PC
Jordan Creek Family Medical Clinic PC was paid $381K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoJORDAN CREEK FAMILY MEDICAL CLINIC PC
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1356378772assigned 06/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$381K
24GClaims13,105
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#74 of 275
Median peer was paid$69K
This provider vs. median5.5×
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 | 1,716 | $54K | |
| 2019 | 1,811 | $54K | |
| 2020 | 1,621 | $49K | |
| 2021 | 2,364 | $72K | |
| 2022 | 2,347 | $62K | |
| 2023 | 1,828 | $51K | |
| 2024incomplete | 1,418 | $40K |
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 | 46% | 4,528 | 3,932 | $174K |
| 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 | 32% | 2,314 | 2,052 | $122K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.9% | 1,592 | 1,317 | $30K |
| 99305 | 2.4% | 450 | 393 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 104 | 101 | $9K |
| 90756 | 1.7% | 402 | 386 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 749 | 678 | $6K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 2,156 | 2,006 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 55 | 53 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 256 | 231 | $4K |
| 90688 | <1% | 185 | 159 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | 60 | $2K |
7 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $1K |
| 99386 | <1% | 14 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 97 | $954.80 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $141.16 |
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 officialHASSAN, BASIL (PRESIDENT/CEO)