Physician
Cedar Valley Medical Specialists PC
Cedar Valley Medical Specialists PC was paid $5.30M by Medicaid between Jan 2018 and Dec 2024, across 119 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoCEDAR VALLEY MEDICAL SPECIALISTS PC
WATERLOO, IA 50704
WATERLOO, IA 50704
33aNPI1497794242assigned 06/06/2006
33bProvider typeSurgery Physician
28Total paid$5.30M
24GClaims125,780
24DCodes billed119
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Iowa
Rank by total paid#1 of 18
Median peer was paid$12K
This provider vs. median457×
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 | 15,850 | $640K | |
| 2019 | 15,626 | $684K | |
| 2020 | 14,407 | $698K | |
| 2021 | 19,448 | $902K | |
| 2022 | 21,632 | $807K | |
| 2023 | 21,230 | $828K | |
| 2024incomplete | 17,587 | $739K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 25,128 | 22,511 | $839K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 33,008 | 30,268 | $791K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.8% | 5,471 | 5,058 | $468K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 7.9% | 2,972 | 2,577 | $416K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.8% | 2,946 | 2,828 | $255K |
| J2778 | Injection, ranibizumab, 0.1 mg | 3.7% | 261 | 241 | $198K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 3,079 | 2,914 | $168K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.2% | 5,160 | 1,649 | $167K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.7% | 2,693 | 2,545 | $146K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.3% | 902 | 848 | $122K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 2.3% | 1,946 | 1,843 | $121K |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.2% | 872 | 755 | $115K |
107 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 2.0% | 1,365 | $108K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.0% | 838 | $104K |
| 76642 | 1.9% | 1,591 | $100K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.6% | 2,232 | $86K |
| J2785 | Injection, regadenoson, 0.1 mg | 1.3% | 523 | $71K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.1% | 1,058 | $59K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1% | 577 | $58K |
| 93015 | 1.1% | 819 | $57K | |
| 93224 | 1.0% | 496 | $54K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.0% | 2,114 | $53K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,752 | $46K |
| 92134 | <1% | 2,270 | $45K | |
| 92015 | Determination of refractive state | <1% | 3,377 | $43K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 235 | $41K |
| V2020 | Frames, purchases | <1% | 1,693 | $40K |
| 95024 | <1% | 336 | $33K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 719 | $31K |
| 90837 | Psychotherapy session, about an hour | <1% | 242 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,262 | $24K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,103 | $19K |
| 95886 | <1% | 257 | $19K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 463 | $19K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 743 | $19K |
| 90961 | <1% | 386 | $17K | |
| 20610 | <1% | 432 | $17K | |
| 00731 | <1% | 270 | $16K | |
| 00811 | <1% | 315 | $16K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 57 | $15K |
| 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% | 1,197 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 220 | $14K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,633 | $13K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 213 | $12K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 59 | $11K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 113 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 337 | $9K |
| 95117 | <1% | 596 | $9K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 329 | $8K |
| 92567 | <1% | 569 | $8K | |
| 93227 | <1% | 331 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 262 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 61 | $8K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 50 | $7K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 465 | $7K |
| 93000 | <1% | 361 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 91 | $6K |
| 92557 | <1% | 207 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 195 | $6K |
| 76830 | Ultrasound, transvaginal | <1% | 178 | $6K |
| 91200 | <1% | 243 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 762 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 109 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 46 | $3K |
| 93016 | <1% | 175 | $3K | |
| 00813 | <1% | 38 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 37 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 66 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 28 | $3K |
| 31231 | <1% | 38 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 269 | $2K |
| 93018 | <1% | 196 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $2K |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | <1% | 98 | $2K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 82 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 53 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 60 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 811 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 63 | $2K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 27 | $2K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 29 | $2K |
| 93296 | <1% | 123 | $2K | |
| 97161 | <1% | 25 | $1K | |
| 62323 | <1% | 25 | $1K | |
| 00126 | <1% | 17 | $1K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 40 | $1K |
| 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% | 120 | $990.39 |
| 90836 | <1% | 25 | $974.28 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 12 | $966.53 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $939.34 |
| 91065 | <1% | 57 | $925.76 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $813.94 |
| 17110 | <1% | 20 | $739.52 | |
| 77065 | Tomosynthesis, mammo | <1% | 14 | $647.22 |
| 76536 | <1% | 29 | $639.94 | |
| 73221 | <1% | 12 | $618.98 | |
| 71250 | <1% | 14 | $529.90 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $527.05 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 51 | $396.26 |
| 73562 | <1% | 45 | $355.43 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 16 | $330.89 |
| 99221 | <1% | 16 | $324.80 | |
| 99442 | <1% | 16 | $309.33 | |
| 76770 | <1% | 12 | $284.29 | |
| 93298 | <1% | 12 | $256.32 | |
| 99152 | <1% | 28 | $242.68 | |
| 93248 | <1% | 13 | $239.56 | |
| 80061 | Lipid panel | <1% | 27 | $220.33 |
| 90686 | <1% | 30 | $215.02 | |
| 90674 | <1% | 15 | $210.02 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 47 | $195.87 |
| 93294 | <1% | 25 | $190.88 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 12 | $155.39 |
| 73630 | <1% | 15 | $111.37 | |
| 73030 | <1% | 15 | $110.70 | |
| 77080 | <1% | 38 | $109.21 | |
| 0298T | <1% | 13 | $97.48 | |
| 81002 | <1% | 14 | $29.31 | |
| 3342F | 0% | 12 | $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 officialKANTAMNENI, VINAY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cedar Valley Medical Specialists PC | Waterloo, IA | $139K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.