Physician
Dubuque Internal Medicine PC
Dubuque Internal Medicine PC was paid $3.92M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoDUBUQUE INTERNAL MEDICINE PC
DUBUQUE, IA 52001
DUBUQUE, IA 52001
33aNPI1568427524assigned 04/20/2006
33bProvider typeHospitalist Physician
28Total paid$3.92M
24GClaims129,337
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Iowa
Rank by total paid#1 of 16
Median peer was paid$7K
This provider vs. median528×
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 | 15,387 | $370K | |
| 2019 | 14,093 | $379K | |
| 2020 | 13,961 | $388K | |
| 2021 | 17,827 | $561K | |
| 2022 | 19,749 | $656K | |
| 2023 | 24,737 | $768K | |
| 2024incomplete | 23,583 | $797K |
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 | 44% | 52,623 | 48,192 | $1.73M |
| 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 | 25% | 27,622 | 25,418 | $989K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 4.3% | 3,665 | 3,412 | $167K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 3,536 | 1,932 | $120K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 2,558 | 2,435 | $116K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.2% | 2,214 | 2,115 | $85K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 915 | 852 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 948 | 909 | $65K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 947 | 909 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 886 | 844 | $58K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 1,040 | 999 | $49K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.2% | 471 | 255 | $48K |
94 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 335 | $35K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,020 | $26K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 588 | $22K |
| 99223 | Prolong inpt eval add15 m | <1% | 350 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 258 | $22K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 153 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 241 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,676 | $15K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 184 | $13K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,399 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 192 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 176 | $9K |
| 90686 | <1% | 625 | $8K | |
| 95117 | <1% | 412 | $7K | |
| 0240U | <1% | 57 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 758 | $6K |
| 80076 | <1% | 663 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 164 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 730 | $5K |
| 90461 | <1% | 450 | $5K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 32 | $5K |
| 85004 | <1% | 544 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 627 | $4K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 28 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 213 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 159 | $3K |
| 80061 | Lipid panel | <1% | 300 | $3K |
| 0002A | <1% | 88 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | $3K |
| 0001A | <1% | 83 | $3K | |
| 99401 | <1% | 902 | $3K | |
| 95806 | <1% | 12 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 220 | $2K |
| 85041 | <1% | 559 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 231 | $2K |
| 95251 | <1% | 39 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $2K |
| 91320 | <1% | 16 | $2K | |
| 85018 | <1% | 635 | $2K | |
| 85014 | <1% | 561 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | $1K |
| 99220 | <1% | 13 | $1K | |
| 83970 | <1% | 25 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $1K |
| 90480 | <1% | 29 | $999.43 | |
| 80069 | <1% | 99 | $951.37 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 23 | $912.21 |
| 84460 | <1% | 207 | $897.92 | |
| 84439 | <1% | 100 | $874.69 | |
| 82565 | <1% | 189 | $839.68 | |
| 90961 | <1% | 15 | $836.81 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 411 | $835.55 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $756.77 |
| 94726 | <1% | 100 | $745.20 | |
| 90656 | <1% | 234 | $637.18 | |
| 90970 | <1% | 489 | $628.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 232 | $532.07 |
| 90677 | <1% | 123 | $520.72 | |
| 94010 | <1% | 27 | $514.43 | |
| 11102 | <1% | 12 | $511.66 | |
| 94729 | <1% | 101 | $466.59 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 61 | $465.51 |
| 0071A | <1% | 14 | $448.40 | |
| 0124A | <1% | 15 | $410.80 | |
| 87081 | <1% | 59 | $407.61 | |
| 94060 | <1% | 29 | $395.77 | |
| 96161 | <1% | 50 | $315.46 | |
| 90698 | <1% | 186 | $301.89 | |
| 0513F | <1% | 82 | $300.00 | |
| 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% | 109 | $274.21 |
| 83655 | <1% | 19 | $258.62 | |
| 85027 | <1% | 40 | $257.02 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 30 | $245.55 |
| 91065 | <1% | 13 | $236.52 | |
| 99000 | <1% | 95 | $214.19 | |
| 99152 | <1% | 174 | $209.07 | |
| 99442 | <1% | 19 | $201.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $177.85 |
| 92551 | <1% | 12 | $172.47 | |
| 82570 | <1% | 25 | $153.09 | |
| 99177 | <1% | 228 | $147.90 | |
| 82043 | <1% | 13 | $108.36 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 36 | $101.92 |
| 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% | 12 | $77.53 |
| 81003 | <1% | 53 | $71.14 | |
| 36416 | <1% | 317 | $55.49 | |
| 85610 | 0% | 39 | $0.00 | |
| 90670 | 0% | 70 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 25 | $0.00 |
| 90662 | 0% | 12 | $0.00 | |
| 99174 | 0% | 477 | $0.00 | |
| 90680 | 0% | 49 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 87 | $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 officialHAFNER, JUSTIN (CHIEF EXECUTIVE OFFICER)