Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Iowa City › NPI 1477554814
Physician

State University of Iowa

State University of Iowa was paid $103.47M by Medicaid between Jan 2018 and Dec 2024, across 403 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.

33Billing provider infoSTATE UNIVERSITY OF IOWA
IOWA CITY, IA 52242
33aNPI1477554814assigned 08/09/2005
28Total paid$103.47M
24GClaims2,044,529
24DCodes billed403
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Iowa

Rank by total paid#1 of 65
Median peer was paid$11K
This provider vs. median9,269×

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

$0$2.0M$4.0M2018201920202021202220232024
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
YearClaimsPaid
2018263,940$10.22M
2019286,089$11.28M
2020255,501$23.80M
2021319,259$23.00M
2022330,588$12.38M
2023327,504$12.62M
2024incomplete261,648$10.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 16% 299,147 280,983 $16.38M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.5% 205,390 195,454 $7.73M
H0040 Assertive community treatment program, per diem 6.6% 100,303 4,590 $6.80M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 5.6% 13,773 1,857 $5.79M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.4% 30,457 29,177 $4.57M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.4% 58,026 53,927 $4.52M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.1% 91,830 28,265 $4.22M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3.2% 8,751 1,867 $3.27M
99480 Subsequent intensive care, per day, low birth weight infant 3.0% 24,614 5,049 $3.12M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.2% 36,228 13,293 $2.25M
95720 2.0% 3,920 2,053 $2.04M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 27,734 26,365 $1.98M
391 more codes
99204 Doctor's office visit, new patient (more involved) 1.7% 16,009 $1.80M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.7% 35,808 $1.78M
99479 Subsequent intensive care, per day, very low birth weight infant 1.4% 11,913 $1.48M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.4% 12,612 $1.40M
96127 1.3% 33,092 $1.34M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 16,740 $1.32M
99283 Emergency room visit (moderate) 1.2% 18,960 $1.23M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 8,453 $1.21M
99284 Emergency room visit (serious) 1.1% 12,499 $1.18M
71045 Radiologic examination, chest; single view 1.1% 132,527 $1.13M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.1% 10,980 $1.11M
99490 Ccm add 20min <1% 10,855 $959K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 117,121 $950K
99203 Doctor's office visit, new patient (routine) <1% 12,886 $815K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 9,901 $796K
99205 Prolong outpt/office vis <1% 5,842 $782K
70450 Computed tomography, head or brain; without contrast material <1% 19,223 $706K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 8,646 $701K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 18,297 $632K
67028 Intravitreal injection of a pharmacologic agent <1% 3,837 $623K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 14,504 $583K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 20,751 $561K
99238 Hospital discharge day management, 30 minutes or less <1% 7,634 $502K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 5,665 $501K
96112 <1% 4,031 $491K
90834 Psychotherapy session, about 45 minutes <1% 6,677 $479K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 9,448 $444K
76770 <1% 11,108 $425K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 8,767 $401K
88307 <1% 4,274 $400K
70551 Magnetic resonance imaging, brain; without contrast material <1% 5,470 $379K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12,422 $365K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 11,719 $353K
71046 Radiologic examination, chest; 2 views <1% 35,684 $348K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,739 $346K
76830 Ultrasound, transvaginal <1% 8,794 $335K
95951 <1% 3,557 $293K
59025 Fetal non-stress test <1% 10,085 $280K
93320 <1% 10,275 $268K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,024 $256K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,505 $245K
99442 <1% 2,650 $245K
96113 <1% 724 $243K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 3,917 $235K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 5,100 $231K
99441 <1% 3,989 $222K
90870 <1% 5,040 $218K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,602 $218K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,634 $211K
74018 <1% 24,788 $211K
00104 <1% 2,943 $192K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 4,976 $188K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,328 $187K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,414 $187K
76801 <1% 2,419 $178K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 946 $165K
29450 <1% 1,624 $157K
93308 <1% 4,729 $150K
90853 Group psychotherapy (other than of a multiple-family group) <1% 4,727 $148K
93325 <1% 19,179 $145K
95813 <1% 1,462 $143K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 3,224 $142K
92134 <1% 6,684 $139K
71250 <1% 2,494 $134K
93975 <1% 1,889 $134K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,450 $133K
99223 Prolong inpt eval add15 m <1% 1,789 $129K
90832 Psychotherapy session, about 30 minutes <1% 2,820 $128K
76506 <1% 3,629 $127K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,771 $121K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,110 $120K
99443 <1% 979 $116K
74019 <1% 9,352 $114K
90837 Psychotherapy session, about an hour <1% 1,082 $107K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,672 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,128 $100K
92201 <1% 3,013 $100K
90686 <1% 9,586 $99K
94010 <1% 9,045 $99K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 610 $95K
88342 <1% 2,849 $94K
20611 <1% 1,485 $90K
99239 Hospital discharge day management, more than 30 minutes <1% 1,470 $88K
36415 Collection of venous blood by venipuncture <1% 32,708 $88K
90791 Psychiatric diagnostic evaluation <1% 854 $87K
72082 <1% 5,077 $81K
G0452 Molecular pathology procedure; physician interpretation and report <1% 4,465 $79K
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% 7,353 $78K
31231 <1% 1,881 $73K
93970 <1% 2,411 $69K
70496 <1% 850 $66K
93321 <1% 5,215 $65K
90935 Hemodialysis procedure with single evaluation by a physician <1% 1,596 $65K
72125 Computed tomography, cervical spine; without contrast material <1% 1,228 $64K
99226 <1% 606 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 629 $60K
92083 <1% 2,052 $59K
86255 <1% 2,956 $58K
95782 <1% 391 $57K
74183 <1% 567 $56K
96111 <1% 621 $54K
73630 <1% 6,406 $54K
92060 <1% 1,761 $53K
99460 <1% 719 $53K
84165 <1% 2,986 $53K
93227 <1% 1,691 $53K
99462 <1% 1,320 $52K
01922 <1% 150 $51K
95800 <1% 1,153 $50K
73030 <1% 5,805 $50K
94060 <1% 2,997 $49K
76813 <1% 587 $47K
99222 Initial hospital care, per day, moderate complexity <1% 744 $45K
51741 <1% 1,094 $42K
73610 <1% 4,747 $42K
88291 <1% 2,522 $42K
80500 <1% 1,854 $42K
96158 <1% 1,084 $41K
88189 <1% 418 $40K
92015 Determination of refractive state <1% 3,464 $40K
93000 <1% 1,510 $39K
86334 <1% 2,291 $38K
73502 <1% 3,604 $37K
31575 <1% 667 $37K
73560 <1% 4,061 $35K
78815 Positron emission tomography (PET) for limited area imaging <1% 468 $34K
76820 <1% 1,258 $33K
0002A <1% 878 $33K
88112 <1% 1,292 $33K
90792 Psychiatric diagnostic evaluation with medical services <1% 246 $32K
00731 <1% 287 $31K
74230 <1% 1,058 $30K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 557 $30K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 108 $30K
V2020 Frames, purchases <1% 1,211 $30K
99217 <1% 526 $30K
80503 <1% 1,850 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,123 $29K
73590 <1% 3,928 $29K
94729 <1% 3,725 $28K
92226 <1% 904 $28K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 365 $27K
76536 <1% 981 $26K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 365 $26K
83036 Hemoglobin; glycosylated (A1C) <1% 3,302 $26K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 374 $25K
76642 <1% 721 $25K
11721 <1% 2,053 $25K
73130 <1% 2,445 $23K
0001A <1% 801 $23K
99417 Prolong home eval add 15m <1% 268 $23K
49083 <1% 267 $22K
99225 <1% 283 $22K
99354 <1% 350 $22K
99220 <1% 134 $21K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 678 $21K
99152 <1% 2,170 $21K
73110 <1% 2,213 $21K
76825 <1% 218 $20K
77072 <1% 1,843 $19K
88188 <1% 270 $19K
70498 <1% 295 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 238 $18K
72100 <1% 1,470 $18K
88141 <1% 643 $17K
86077 <1% 305 $16K
54150 <1% 143 $16K
17110 <1% 278 $16K
70491 <1% 186 $16K
70486 <1% 308 $16K
92002 <1% 518 $16K
95251 <1% 217 $15K
69210 <1% 501 $15K
95718 <1% 66 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 237 $15K
20610 <1% 346 $15K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 52 $14K
91320 <1% 143 $14K
92504 <1% 2,326 $14K
93971 <1% 608 $14K
72141 <1% 228 $14K
77080 <1% 1,329 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 106 $13K
83020 <1% 726 $13K
0072A <1% 455 $13K
90961 <1% 213 $13K
92133 <1% 527 $12K
95811 <1% 93 $12K
72170 <1% 1,451 $12K
76818 <1% 356 $12K
73564 <1% 1,056 $12K
75561 <1% 107 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 104 $12K
73562 <1% 1,151 $11K
77066 Tomosynthesis, mammo <1% 158 $10K
96133 <1% 96 $10K
85097 <1% 262 $10K
90472 Immunization administration, each additional vaccine (list separately) <1% 791 $10K
0071A <1% 368 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 34 $9K
94726 <1% 777 $9K
81003 <1% 3,601 $9K
76882 <1% 341 $8K
51798 <1% 662 $8K
72040 <1% 648 $8K
76827 <1% 218 $8K
93018 <1% 528 $8K
73552 <1% 807 $8K
90480 <1% 306 $8K
99201 <1% 225 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 268 $7K
99468 <1% 13 $7K
0054A <1% 222 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 240 $7K
91065 <1% 852 $7K
76885 <1% 170 $7K
93295 <1% 179 $7K
38222 <1% 91 $7K
77427 <1% 53 $7K
80053 Comprehensive metabolic panel <1% 522 $6K
99308 Subsequent nursing facility care, per day, straightforward <1% 471 $6K
92136 <1% 251 $6K
73700 <1% 108 $6K
99307 <1% 127 $6K
93272 <1% 191 $6K
92310 <1% 96 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 634 $6K
V5241 Dispensing fee, monaural hearing aid, any type <1% 28 $6K
70250 <1% 400 $5K
36558 <1% 14 $5K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 1,104 $5K
0004A <1% 135 $5K
81025 <1% 612 $5K
95885 <1% 135 $5K
77001 <1% 431 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 252 $5K
0124A <1% 154 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 111 $5K
88304 <1% 357 $5K
88104 <1% 157 $5K
73070 <1% 585 $5K
95812 <1% 100 $5K
80061 Lipid panel <1% 276 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 320 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 339 $4K
95886 <1% 65 $4K
90785 <1% 636 $4K
88331 <1% 46 $4K
86079 <1% 93 $4K
0011A <1% 139 $4K
96118 <1% 27 $4K
76857 <1% 177 $4K
96132 <1% 97 $4K
93922 <1% 265 $4K
99219 <1% 59 $3K
76881 <1% 133 $3K
0012A <1% 134 $3K
0052A <1% 112 $3K
70546 <1% 60 $3K
73521 <1% 330 $3K
0082A <1% 94 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 128 $3K
88341 <1% 61 $3K
11100 <1% 109 $3K
93297 <1% 167 $3K
96101 <1% 18 $3K
96450 <1% 46 $2K
96130 <1% 64 $2K
99221 <1% 114 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 25 $2K
90677 <1% 129 $2K
88381 <1% 59 $2K
96131 <1% 36 $2K
95909 <1% 13 $2K
0064A <1% 103 $2K
90836 <1% 66 $2K
31622 <1% 14 $2K
76377 <1% 24 $2K
77065 Tomosynthesis, mammo <1% 43 $2K
72131 <1% 27 $2K
93784 <1% 12 $1K
74328 <1% 41 $1K
90656 <1% 199 $1K
0081A <1% 63 $1K
73090 <1% 156 $1K
72156 <1% 13 $1K
64642 <1% 18 $1K
95983 <1% 43 $1K
V2756 Eye glass case <1% 1,241 $1K
76937 <1% 117 $1K
64643 <1% 29 $1K
96116 <1% 40 $1K
72158 <1% 12 $1K
91200 <1% 128 $1K
76514 <1% 157 $1K
88321 <1% 32 $1K
90461 <1% 781 $1K
96137 <1% 22 $1K
96136 <1% 39 $1K
0083A <1% 26 $1K
95874 <1% 115 $962.09
11104 <1% 16 $950.66
88187 <1% 23 $949.53
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 49 $932.36
0051A <1% 48 $928.00
73551 <1% 52 $916.50
99072 <1% 11,629 $914.76
90651 <1% 26 $890.73
83655 <1% 52 $801.03
0074A <1% 31 $800.00
80048 Basic metabolic panel (calcium, ionized) <1% 84 $773.53
92225 <1% 26 $771.41
64483 <1% 12 $727.47
76942 <1% 47 $725.56
85027 <1% 87 $695.58
62252 <1% 25 $686.89
88173 <1% 14 $681.22
93016 <1% 25 $645.00
36620 <1% 12 $604.28
95930 <1% 30 $544.97
0134A <1% 13 $525.60
99218 <1% 14 $524.88
92250 <1% 33 $453.62
73140 <1% 85 $416.77
99224 <1% 19 $412.43
99140 <1% 30 $387.20
96159 <1% 16 $348.46
90849 <1% 16 $346.57
73060 <1% 18 $310.11
76870 <1% 14 $309.88
93880 <1% 14 $301.16
36568 <1% 13 $295.83
99305 <1% 14 $290.50
90474 <1% 40 $222.46
96381 <1% 13 $214.56
88313 <1% 13 $202.18
70355 <1% 19 $187.80
90715 <1% 14 $166.12
92025 <1% 13 $164.46
36416 <1% 387 $160.06
90670 <1% 349 $159.57
92593 <1% 26 $149.34
95970 <1% 58 $148.27
72110 <1% 12 $130.63
96161 <1% 13 $107.75
92558 <1% 12 $96.81
99188 <1% 12 $84.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 29 $84.18
85018 <1% 26 $79.80
90685 <1% 14 $64.26
81001 <1% 14 $59.67
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 14 $54.93
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13 $36.29
81000 <1% 18 $31.95
Q3014 Telehealth originating site facility fee <1% 62 $31.21
90648 <1% 73 $27.49
3074F <1% 15 $20.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 14 $8.68
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% 25 $2.60
91307 0% 498 $0.00
84132 0% 18 $0.00
90697 0% 224 $0.00
99024 0% 1,028 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 62 $0.00
90723 0% 55 $0.00
H0038 Self-help/peer services, per 15 minutes 0% 72 $0.00
0500F 0% 51 $0.00
90680 0% 189 $0.00
91306 0% 57 $0.00
91305 0% 388 $0.00
91301 0% 209 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 25 $0.00
93264 0% 16 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 14 $0.00
82435 0% 18 $0.00
0502F 0% 2,821 $0.00
91300 0% 1,783 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,387 $0.00
84520 0% 47 $0.00
3085F 0% 108 $0.00
3078F 0% 13 $0.00
93356 0% 68 $0.00
91312 0% 92 $0.00
82565 0% 48 $0.00
91308 0% 182 $0.00
84295 0% 18 $0.00
91311 0% 33 $0.00
90633 0% 28 $0.00
82374 0% 18 $0.00
82310 0% 18 $0.00
91313 0% 13 $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 officialVANDAELE, DOUGLAS (ASSOCIATE DEAN)
Parent organizationSTATE UNIVERSITY OF IOWA