Physician
Iowa Physicians Clinic Medical Foundation
Iowa Physicians Clinic Medical Foundation was paid $1.20M by Medicaid between Jan 2018 and Apr 2021, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoIOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
MUSCATINE, IA 52761
MUSCATINE, IA 52761
33aNPI1982831426assigned 06/11/2009
33bProvider typeFamily Medicine Physician
28Total paid$1.20M
24GClaims41,380
24DCodes billed46
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#37 of 275
Median peer was paid$69K
This provider vs. median17×
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 | 29,642 | $878K | |
| 2019 | 8,252 | $216K | |
| 2020 | 2,942 | $88K | |
| 2021 | 544 | $20K |
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 | 42% | 15,386 | 13,954 | $507K |
| 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 | 20% | 5,626 | 5,194 | $240K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 1,697 | 1,641 | $77K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.4% | 654 | 638 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 818 | 727 | $51K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.1% | 577 | 560 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 444 | 440 | $32K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.6% | 2,892 | 1,864 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 396 | 386 | $24K |
| 59025 | Fetal non-stress test | 1.6% | 765 | 461 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 276 | 239 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,541 | 1,463 | $18K |
34 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 2,269 | $17K |
| 90686 | 1.2% | 1,130 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 191 | $14K |
| 81025 | <1% | 1,175 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 277 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 280 | $7K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 25 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 535 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 935 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 40 | $2K |
| 94060 | <1% | 114 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 59 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 348 | $939.37 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $844.80 |
| 90651 | <1% | 32 | $829.18 | |
| 90461 | <1% | 663 | $810.90 | |
| 81002 | <1% | 279 | $785.46 | |
| 96127 | <1% | 14 | $593.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 218 | $476.26 |
| 94729 | <1% | 82 | $373.71 | |
| 90670 | <1% | 444 | $356.22 | |
| 81003 | <1% | 151 | $327.56 | |
| 94727 | <1% | 42 | $300.65 | |
| 90734 | <1% | 17 | $246.56 | |
| 92567 | <1% | 13 | $155.10 | |
| 90633 | <1% | 101 | $92.64 | |
| 90715 | <1% | 12 | $80.48 | |
| 90647 | <1% | 279 | $47.14 | |
| 90716 | 0% | 13 | $0.00 | |
| 90680 | 0% | 227 | $0.00 | |
| 90723 | 0% | 263 | $0.00 | |
| 90685 | 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 officialMCNICHOLS, ROBIN (CFO)