Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WEST DES MOINES › IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

NPI: 1366425274 · WEST DES MOINES, IA 50266 · Family Medicine Physician · NPI assigned 11/23/2005

$102.71M
Total Medicaid Paid
3,058,691
Total Claims
2,807,064
Beneficiaries
305
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNEWLAND, PATRICIA (PRESIDENT, IPCMF)
NPI Enumeration Date11/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 372,454 $11.67M
2019 416,310 $14.17M
2020 354,409 $11.90M
2021 495,809 $16.21M
2022 513,833 $17.16M
2023 520,302 $17.52M
2024 385,574 $14.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,160,699 1,092,610 $39.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 483,347 451,221 $21.52M
90460 Immunization administration through 18 years of age via any route, first or only component 119,631 117,345 $5.34M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46,123 45,449 $3.41M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 45,847 42,766 $3.07M
87428 15,400 14,954 $1.89M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28,569 27,403 $1.77M
99232 Subsequent hospital care, per day, moderate complexity 59,570 24,096 $1.73M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 22,427 22,220 $1.66M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 115,735 111,790 $1.59M
90686 89,821 88,639 $1.14M
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,587 14,348 $876K
90461 45,062 44,188 $784K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,491 4,241 $759K
90834 Psychotherapy, 45 minutes with patient 12,539 8,163 $719K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,894 3,916 $617K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,942 2,977 $616K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,348 7,239 $603K
99309 Subsequent nursing facility care, per day, low to moderate complexity 32,480 26,194 $552K
97530 Therapeutic activities, direct patient contact, each 15 minutes 20,365 8,931 $551K
J0585 Injection, onabotulinumtoxina, 1 unit 1,553 779 $538K
99223 Prolong inpt eval add15 m 5,694 5,417 $514K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,332 7,021 $503K
99233 Prolong inpt eval add15 m 12,300 6,014 $484K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62,061 60,812 $452K
99215 Prolong outpt/office vis 6,161 5,701 $434K
96127 5,865 5,506 $428K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,604 4,138 $412K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,007 4,930 $392K
99238 Hospital discharge day management, 30 minutes or less 7,068 6,762 $385K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14,028 12,799 $382K
90677 3,835 3,784 $367K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,698 5,573 $363K
T1013 Sign language or oral interpretive services, per 15 minutes 9,381 8,807 $359K
99460 5,351 5,179 $340K
99231 Subsequent hospital care, per day, straightforward or low complexity 16,020 5,225 $333K
36415 Collection of venous blood by venipuncture 123,981 117,140 $307K
0002A 6,996 6,893 $257K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,198 5,855 $239K
0001A 7,330 7,173 $237K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,304 4,103 $209K
90792 Psychiatric diagnostic evaluation with medical services 2,228 2,077 $208K
95251 4,179 4,039 $208K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,225 2,196 $203K
76819 Fetal biophysical profile; without non-stress testing 2,647 1,413 $194K
59025 Fetal non-stress test 6,749 4,843 $186K
99222 Initial hospital care, per day, moderate complexity 3,044 2,832 $184K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,373 4,282 $181K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,885 19,171 $177K
99239 Hospital discharge day management, more than 30 minutes 3,320 3,155 $159K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 6,739 5,482 $159K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,324 2,210 $158K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,339 1,838 $148K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,389 2,406 $133K
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) 11,521 10,940 $117K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,590 2,470 $116K
95886 1,315 1,265 $114K
90837 Psychotherapy, 53 minutes with patient 1,961 1,353 $106K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,578 1,784 $103K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,300 1,279 $98K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 516 502 $92K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,318 23,924 $88K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,736 11,024 $87K
99205 Prolong outpt/office vis 780 742 $83K
93000 3,827 3,592 $79K
81003 29,626 28,124 $75K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 517 495 $73K
71046 Radiologic examination, chest; 2 views 5,080 4,850 $71K
76830 Ultrasound, transvaginal 1,492 1,048 $65K
77067 Screening mammography, bilateral, including computer-aided detection 953 928 $65K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,816 10,286 $63K
81025 7,549 7,240 $60K
99221 1,244 1,194 $59K
83036 Hemoglobin; glycosylated (A1C) 8,095 7,841 $57K
97116 2,986 1,323 $56K
73630 3,298 2,710 $55K
99308 Subsequent nursing facility care, per day, straightforward 6,862 6,248 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,122 2,027 $53K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 698 624 $52K
93325 1,054 902 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,351 3,300 $48K
94060 2,232 2,135 $47K
90472 Immunization administration, each additional vaccine (list separately) 2,826 2,780 $42K
64615 556 503 $41K
94729 2,299 2,202 $39K
90656 6,814 6,781 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 449 431 $39K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 40 37 $36K
91322 369 364 $36K
90670 22,790 22,287 $35K
0071A 874 867 $35K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 330 328 $34K
94726 1,815 1,735 $33K
0072A 820 817 $33K
54150 344 329 $32K
90847 Family psychotherapy with the patient present, 50 minutes 619 474 $32K
0124A 1,111 1,090 $31K
94010 2,010 1,922 $31K
90832 Psychotherapy, 30 minutes with patient 752 695 $31K
90791 Psychiatric diagnostic evaluation 313 301 $30K
93320 500 482 $28K
95810 Polysomnography; sleep staging with 4 or more additional parameters 206 197 $28K
90651 979 963 $28K
95811 206 193 $28K
76820 359 213 $27K
92526 700 343 $26K
76801 351 308 $26K
99283 Emergency department visit for the evaluation and management, moderate severity 500 422 $22K
90836 489 459 $19K
90715 800 783 $18K
99188 1,332 1,323 $17K
20610 491 443 $17K
77063 Screening digital breast tomosynthesis, bilateral 864 840 $17K
47562 29 28 $15K
90480 644 633 $15K
87807 1,070 1,029 $15K
90961 316 306 $14K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 13 13 $14K
93304 249 206 $13K
90734 666 657 $13K
99462 381 324 $13K
95806 152 144 $12K
0054A 355 350 $11K
51798 1,474 1,403 $10K
83655 647 625 $10K
0003A 298 294 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 60 57 $10K
95813 192 166 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 536 520 $10K
90739 87 86 $10K
95912 49 49 $9K
81002 3,393 3,199 $9K
99173 4,676 4,629 $9K
43775 16 13 $9K
95913 42 39 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 147 114 $9K
43249 81 77 $8K
99177 4,674 4,620 $8K
99310 Prolong nursin fac eval 15m 1,359 1,180 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 387 285 $7K
99220 79 75 $7K
90633 3,730 3,660 $7K
93458 44 40 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 461 423 $7K
00170 Anesthesia for intraoral procedures, including biopsy 41 38 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $6K
93321 277 233 $6K
99284 Emergency department visit for the evaluation and management, high severity 86 72 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,757 3,666 $6K
76813 59 53 $5K
00126 67 67 $5K
85018 1,862 1,800 $5K
97113 135 55 $5K
96131 94 82 $5K
74019 270 264 $5K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 12 12 $5K
96101 81 70 $5K
Q3014 Telehealth originating site facility fee 234 224 $4K
96130 106 92 $4K
73610 245 229 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 192 127 $4K
93976 44 31 $4K
90647 10,666 10,381 $4K
0004A 95 95 $4K
76857 96 80 $4K
99381 57 53 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,286 1,248 $3K
90962 142 139 $3K
93224 26 25 $3K
11721 222 212 $3K
83013 39 38 $3K
80061 Lipid panel 271 259 $3K
99152 433 401 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 18 12 $3K
90732 108 103 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 25 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 18 16 $3K
95816 61 55 $2K
90785 659 302 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 273 257 $2K
82947 598 547 $2K
99201 68 65 $2K
97162 38 38 $2K
93296 153 137 $2K
90723 10,532 10,285 $2K
93299 28 25 $2K
73562 129 113 $2K
76825 33 28 $2K
95250 25 25 $2K
90680 11,248 10,983 $1K
99219 37 32 $1K
0012A 68 56 $1K
90688 216 213 $1K
84156 324 203 $1K
99305 78 71 $1K
0053A 33 33 $1K
90710 81 81 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 32 27 $1K
99306 Prolong nursin fac eval 15m 93 87 $1K
93018 96 88 $1K
3044F 470 460 $1K
83721 159 151 $1K
94727 48 46 $942.87
99442 194 178 $926.46
93016 52 49 $916.26
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 76 49 $904.72
76642 18 15 $887.58
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 18 14 $876.57
91321 13 13 $875.52
99349 27 24 $873.19
76827 33 28 $851.40
93295 25 25 $819.02
90696 50 50 $818.64
93971 51 49 $803.33
96132 16 12 $779.88
3074F 809 774 $760.00
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 40 27 $671.18
0011A 61 51 $658.80
80048 Basic metabolic panel (calcium, ionized) 77 72 $639.48
95885 14 13 $630.76
84443 Thyroid stimulating hormone (TSH) 55 53 $627.12
73130 36 25 $605.00
17110 14 12 $600.34
99218 13 13 $584.64
95819 13 13 $565.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 112 109 $542.47
31505 12 12 $533.42
99281 Emergency department visit for the evaluation and management, self-limited or minor 49 41 $525.08
80053 Comprehensive metabolic panel 56 54 $517.89
73110 30 25 $512.90
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 21 12 $496.71
99457 14 14 $491.15
95874 65 53 $487.20
0064A 12 12 $480.00
77065 Tomosynthesis, mammo 15 14 $478.49
98926 16 13 $478.29
92504 32 29 $444.71
98927 12 12 $415.21
97597 90 66 $409.77
69210 24 24 $399.49
88142 29 27 $354.24
90474 52 52 $349.86
87210 71 63 $341.22
99443 47 46 $329.31
93298 15 13 $302.21
99490 Ccm add 20min 218 216 $298.90
90716 128 127 $297.76
85004 34 31 $282.09
3078F 477 453 $280.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 92 88 $269.68
74018 26 24 $261.57
84460 47 44 $242.80
J7510 Prednisolone oral, per 5 mg 130 127 $228.68
92551 13 13 $183.43
3079F 275 265 $180.00
90707 181 179 $176.04
72100 12 12 $162.21
99307 12 12 $154.00
83718 13 13 $151.06
J1010 Injection, methylprednisolone acetate, 1 mg 14 12 $136.00
81001 48 43 $135.23
82950 25 24 $126.06
93922 12 12 $103.12
88720 17 14 $101.49
99000 102 99 $101.44
82043 12 12 $88.27
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $87.17
82570 12 12 $78.94
82465 13 13 $76.44
90697 2,291 2,250 $54.60
99453 14 13 $49.81
85027 13 12 $48.58
J2550 Injection, promethazine hcl, up to 50 mg 13 12 $38.15
99441 16 16 $36.07
90700 61 61 $34.28
99318 17 17 $30.80
90687 15 15 $30.60
G2008 Moderate (45 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) 14 12 $24.43
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 14 13 $21.84
90685 27 26 $20.64
J8540 Dexamethasone, oral, 0.25 mg 39 39 $19.20
G0008 Administration of influenza virus vaccine 1,064 1,046 $10.18
J2405 Injection, ondansetron hydrochloride, per 1 mg 13 13 $7.99
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $6.78
91308 169 160 $0.36
99358 Prolong nursin fac eval 15m 16 12 $0.01
3008F 20,077 19,917 $0.00
91305 714 696 $0.00
91307 1,981 1,886 $0.00
G2007 Limited (30 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) 22 14 $0.00
99459 299 289 $0.00
91301 42 27 $0.00
G0009 Administration of pneumococcal vaccine 148 144 $0.00
90698 13 13 $0.00
3080F 14 14 $0.00
3075F 29 29 $0.00
99406 13 13 $0.00
91306 12 12 $0.00
91300 10,642 10,035 $0.00
85610 260 152 $0.00
91312 491 486 $0.00
90662 262 259 $0.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 14 13 $0.00
3077F 33 30 $0.00
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 22 12 $0.00