Iowa Physicians Clinic Medical Foundation

Iowa Physicians Clinic Medical Foundation was paid $102.71M by Medicaid between Jan 2018 and Dec 2024, across 305 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoIOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
WEST DES MOINES, IA 50266

33aNPI1366425274assigned 11/23/2005

33bProvider typeFamily Medicine Physician

28Total paid$102.71M

24GClaims3,058,691

24DCodes billed305

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Iowa

Rank by total paid#1 of 275

Median peer was paid$69K

This provider vs. median1,486×

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	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
2024incomplete	385,574	$14.09M

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	39%	1,160,699	1,092,610	$39.76M
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	21%	483,347	451,221	$21.52M
90460	Immunization administration through 18 years of age via any route, first or only component	5.2%	119,631	117,345	$5.34M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.3%	46,123	45,449	$3.41M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.0%	45,847	42,766	$3.07M
87428		1.8%	15,400	14,954	$1.89M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	28,569	27,403	$1.77M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.7%	59,570	24,096	$1.73M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.6%	22,427	22,220	$1.66M
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	115,735	111,790	$1.59M
90686		1.1%	89,821	88,639	$1.14M
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	14,587	14,348	$876K

293 more codes

90461		<1%	45,062	$784K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	4,491	$759K
90834	Psychotherapy session, about 45 minutes	<1%	12,539	$719K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	9,894	$617K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	6,942	$616K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	7,348	$603K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	32,480	$552K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	20,365	$551K
J0585	Injection, onabotulinumtoxina, 1 unit	<1%	1,553	$538K
99223	Prolong inpt eval add15 m	<1%	5,694	$514K
99204	Doctor's office visit, new patient (more involved)	<1%	7,332	$503K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	12,300	$484K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	62,061	$452K
99215	Doctor's office visit, returning patient (complex)	<1%	6,161	$434K
96127		<1%	5,865	$428K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	4,604	$412K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	5,007	$392K
99238	Hospital discharge day management, 30 minutes or less	<1%	7,068	$385K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14,028	$382K
90677		<1%	3,835	$367K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	6,698	$363K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	9,381	$359K
99460		<1%	5,351	$340K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	16,020	$333K
36415	Collection of venous blood by venipuncture	<1%	123,981	$307K
0002A		<1%	6,996	$257K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	6,198	$239K
0001A		<1%	7,330	$237K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	10,304	$209K
90792	Psychiatric diagnostic evaluation with medical services	<1%	2,228	$208K
95251		<1%	4,179	$208K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	2,225	$203K
76819	Fetal biophysical profile; without non-stress testing	<1%	2,647	$194K
59025	Fetal non-stress test	<1%	6,749	$186K
99222	Initial hospital care, per day, moderate complexity	<1%	3,044	$184K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	4,373	$181K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	19,885	$177K
99239	Hospital discharge day management, more than 30 minutes	<1%	3,320	$159K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	6,739	$159K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	<1%	2,324	$158K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	2,339	$148K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	6,389	$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)	<1%	11,521	$117K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	2,590	$116K
95886		<1%	1,315	$114K
90837	Psychotherapy session, about an hour	<1%	1,961	$106K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	4,578	$103K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	1,300	$98K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	516	$92K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	25,318	$88K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	12,736	$87K
99205	Prolong outpt/office vis	<1%	780	$83K
93000		<1%	3,827	$79K
81003		<1%	29,626	$75K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	517	$73K
71046	Radiologic examination, chest; 2 views	<1%	5,080	$71K
76830	Ultrasound, transvaginal	<1%	1,492	$65K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	953	$65K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	10,816	$63K
81025		<1%	7,549	$60K
99221		<1%	1,244	$59K
83036	Hemoglobin; glycosylated (A1C)	<1%	8,095	$57K
97116		<1%	2,986	$56K
73630		<1%	3,298	$55K
99308	Subsequent nursing facility care, per day, straightforward	<1%	6,862	$54K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,122	$53K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	698	$52K
93325		<1%	1,054	$50K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	3,351	$48K
94060		<1%	2,232	$47K
90472	Immunization administration, each additional vaccine (list separately)	<1%	2,826	$42K
64615		<1%	556	$41K
94729		<1%	2,299	$39K
90656		<1%	6,814	$39K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	449	$39K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	<1%	40	$36K
91322		<1%	369	$36K
90670		<1%	22,790	$35K
0071A		<1%	874	$35K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	330	$34K
94726		<1%	1,815	$33K
0072A		<1%	820	$33K
54150		<1%	344	$32K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	619	$32K
0124A		<1%	1,111	$31K
94010		<1%	2,010	$31K
90832	Psychotherapy session, about 30 minutes	<1%	752	$31K
90791	Psychiatric diagnostic evaluation	<1%	313	$30K
93320		<1%	500	$28K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	206	$28K
90651		<1%	979	$28K
95811		<1%	206	$28K
76820		<1%	359	$27K
92526		<1%	700	$26K
76801		<1%	351	$26K
99283	Emergency room visit (moderate)	<1%	500	$22K
90836		<1%	489	$19K
90715		<1%	800	$18K
99188		<1%	1,332	$17K
20610		<1%	491	$17K
77063	Screening digital breast tomosynthesis, bilateral	<1%	864	$17K
47562		<1%	29	$15K
90480		<1%	644	$15K
87807		<1%	1,070	$15K
90961		<1%	316	$14K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	<1%	13	$14K
93304		<1%	249	$13K
90734		<1%	666	$13K
99462		<1%	381	$13K
95806		<1%	152	$12K
0054A		<1%	355	$11K
51798		<1%	1,474	$10K
83655		<1%	647	$10K
0003A		<1%	298	$10K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	60	$10K
95813		<1%	192	$10K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	536	$10K
90739		<1%	87	$10K
95912		<1%	49	$9K
81002		<1%	3,393	$9K
99173		<1%	4,676	$9K
43775		<1%	16	$9K
95913		<1%	42	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	147	$9K
43249		<1%	81	$8K
99177		<1%	4,674	$8K
99310	Prolong nursin fac eval 15m	<1%	1,359	$7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	387	$7K
99220		<1%	79	$7K
90633		<1%	3,730	$7K
93458		<1%	44	$7K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	461	$7K
00170	Anesthesia for intraoral procedures, including biopsy	<1%	41	$6K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	26	$6K
93321		<1%	277	$6K
99284	Emergency room visit (serious)	<1%	86	$6K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	3,757	$6K
76813		<1%	59	$5K
00126		<1%	67	$5K
85018		<1%	1,862	$5K
97113		<1%	135	$5K
96131		<1%	94	$5K
74019		<1%	270	$5K
M0245	Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring	<1%	12	$5K
96101		<1%	81	$5K
Q3014	Telehealth originating site facility fee	<1%	234	$4K
96130		<1%	106	$4K
73610		<1%	245	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	192	$4K
93976		<1%	44	$4K
90647		<1%	10,666	$4K
0004A		<1%	95	$4K
76857		<1%	96	$4K
99381		<1%	57	$3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	1,286	$3K
90962		<1%	142	$3K
93224		<1%	26	$3K
11721		<1%	222	$3K
83013		<1%	39	$3K
80061	Lipid panel	<1%	271	$3K
99152		<1%	433	$3K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	18	$3K
90732		<1%	108	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	29	$3K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	18	$3K
95816		<1%	61	$2K
90785		<1%	659	$2K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	273	$2K
82947		<1%	598	$2K
99201		<1%	68	$2K
97162		<1%	38	$2K
93296		<1%	153	$2K
90723		<1%	10,532	$2K
93299		<1%	28	$2K
73562		<1%	129	$2K
76825		<1%	33	$2K
95250		<1%	25	$2K
90680		<1%	11,248	$1K
99219		<1%	37	$1K
0012A		<1%	68	$1K
90688		<1%	216	$1K
84156		<1%	324	$1K
99305		<1%	78	$1K
0053A		<1%	33	$1K
90710		<1%	81	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	32	$1K
99306	Prolong nursin fac eval 15m	<1%	93	$1K
93018		<1%	96	$1K
3044F		<1%	470	$1K
83721		<1%	159	$1K
94727		<1%	48	$942.87
99442		<1%	194	$926.46
93016		<1%	52	$916.26
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	76	$904.72
76642		<1%	18	$887.58
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	18	$876.57
91321		<1%	13	$875.52
99349		<1%	27	$873.19
76827		<1%	33	$851.40
93295		<1%	25	$819.02
90696		<1%	50	$818.64
93971		<1%	51	$803.33
96132		<1%	16	$779.88
3074F		<1%	809	$760.00
G0109	Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes	<1%	40	$671.18
0011A		<1%	61	$658.80
80048	Basic metabolic panel (calcium, ionized)	<1%	77	$639.48
95885		<1%	14	$630.76
84443	Thyroid stimulating hormone (TSH)	<1%	55	$627.12
73130		<1%	36	$605.00
17110		<1%	14	$600.34
99218		<1%	13	$584.64
95819		<1%	13	$565.63
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	112	$542.47
31505		<1%	12	$533.42
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	49	$525.08
80053	Comprehensive metabolic panel	<1%	56	$517.89
73110		<1%	30	$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)	<1%	21	$496.71
99457		<1%	14	$491.15
95874		<1%	65	$487.20
0064A		<1%	12	$480.00
77065	Tomosynthesis, mammo	<1%	15	$478.49
98926		<1%	16	$478.29
92504		<1%	32	$444.71
98927		<1%	12	$415.21
97597		<1%	90	$409.77
69210		<1%	24	$399.49
88142		<1%	29	$354.24
90474		<1%	52	$349.86
87210		<1%	71	$341.22
99443		<1%	47	$329.31
93298		<1%	15	$302.21
99490	Ccm add 20min	<1%	218	$298.90
90716		<1%	128	$297.76
85004		<1%	34	$282.09
3078F		<1%	477	$280.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	92	$269.68
74018		<1%	26	$261.57
84460		<1%	47	$242.80
J7510	Prednisolone oral, per 5 mg	<1%	130	$228.68
92551		<1%	13	$183.43
3079F		<1%	275	$180.00
90707		<1%	181	$176.04
72100		<1%	12	$162.21
99307		<1%	12	$154.00
83718		<1%	13	$151.06
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	14	$136.00
81001		<1%	48	$135.23
82950		<1%	25	$126.06
93922		<1%	12	$103.12
88720		<1%	17	$101.49
99000		<1%	102	$101.44
82043		<1%	12	$88.27
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	12	$87.17
82570		<1%	12	$78.94
82465		<1%	13	$76.44
90697		<1%	2,291	$54.60
99453		<1%	14	$49.81
85027		<1%	13	$48.58
J2550	Injection, promethazine hcl, up to 50 mg	<1%	13	$38.15
99441		<1%	16	$36.07
90700		<1%	61	$34.28
99318		<1%	17	$30.80
90687		<1%	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.)	<1%	14	$24.43
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	<1%	14	$21.84
90685		<1%	27	$20.64
J8540	Dexamethasone, oral, 0.25 mg	<1%	39	$19.20
G0008	Administration of influenza virus vaccine	<1%	1,064	$10.18
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	13	$7.99
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	12	$6.78
91308		<1%	169	$0.36
99358	Prolong nursin fac eval 15m	<1%	16	$0.01
3008F		0%	20,077	$0.00
91305		0%	714	$0.00
91307		0%	1,981	$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.)	0%	22	$0.00
99459		0%	299	$0.00
91301		0%	42	$0.00
G0009	Administration of pneumococcal vaccine	0%	148	$0.00
90698		0%	13	$0.00
3080F		0%	14	$0.00
3075F		0%	29	$0.00
99406		0%	13	$0.00
91306		0%	12	$0.00
91300		0%	10,642	$0.00
85610		0%	260	$0.00
91312		0%	491	$0.00
90662		0%	262	$0.00
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	0%	14	$0.00
3077F		0%	33	$0.00
G0408	Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	0%	22	$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 officialNEWLAND, PATRICIA (PRESIDENT, IPCMF)