Clinic
Iowa Physicians Clinic Medical Foundation
Iowa Physicians Clinic Medical Foundation was paid $448K by Medicaid between Jan 2018 and Dec 2020, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoIOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
WAVERLY, IA 50677
WAVERLY, IA 50677
33aNPI1487699559assigned 06/20/2006
33bProvider typeRural Health Clinic/Center
28Total paid$448K
24GClaims10,208
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#99 of 182
Median peer was paid$561K
This provider vs. median0.8×
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 | 3,608 | $157K | |
| 2019 | 3,547 | $156K | |
| 2020 | 3,053 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 4,604 | 4,055 | $445K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 708 | 693 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 126 | 126 | $395.70 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 107 | 107 | $394.10 |
| 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 | <1% | 1,117 | 1,041 | $390.09 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,785 | 1,599 | $369.20 |
| 90461 | <1% | 115 | 113 | $273.26 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 181 | 180 | $178.36 |
| 90686 | <1% | 335 | 332 | $67.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 639 | 611 | $29.17 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 71 | 68 | $12.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | 85 | $10.18 |
12 more codes
| 85018 | 0% | 48 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 83655 | 0% | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 101 | $0.00 |
| 90734 | 0% | 27 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 80061 | Lipid panel | 0% | 25 | $0.00 |
| 90633 | 0% | 14 | $0.00 | |
| 81003 | 0% | 15 | $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 officialLAINE, ERICK (COO)
Parent organizationIOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Grundy Center, IA | $438K |
| Iowa Physicians Clinic Medical Foundation | Oelwein, IA | $342K |
| Iowa Physicians Clinic Medical Foundation | Parkersburg, IA | $190K |
| Iowa Physicians Clinic Medical Foundation | Denver, IA | $112K |
| Iowa Physicians Clinic Medical Foundation | Vinton, IA | $86K |
| Iowa Physicians Clinic Medical Foundation | Belle Plaine, IA | $71K |
| Iowa Physicians Clinic Medical Foundation | Allison, IA | $13K |
| Iowa Physicians Clinic Medical Foundation | Mechanicsville, IA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.