Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Emergency Physician Associates Of Nebraska PC (NPI 1013302413)

Field	Value
Entity Type	Organization
Organization	Emergency Physician Associates Of Nebraska PC
Address	601 N 30th St
City	Omaha
State	NE
ZIP	68131
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 2, 2015

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while total Medicaid revenue is $4.9M, so all observed fee-for-service activity and revenue are sourced to Medicaid. The absence of Medicare billing makes cross-payer comparisons impossible and concentrates financial risk and competitive positioning within the Medicaid market.

Revenue is highly concentrated in a small set of emergency department E/M codes: the precomputed top 3 codes (99284, 99283, 99285) account for 99.0% of this provider's total Medicaid revenue. Individually those codes generate $2M (99284), $1.7M (99283), and $1.1M (99285), showing the business is driven almost entirely by ED evaluation-and-management encounters.

The code mix indicates a standard emergency medicine practice focused on moderate- and low-complexity ED visits with a meaningful share of high-complexity cases: 99284 (moderate MDM) and 99283 (low MDM) together account for $3.7M of Medicaid revenue, while 99285 (high MDM) contributes $1.1M. Average paid-per-claim differences ($77 for 99284, $58 for 99283, $110 for 99285) align with increasing reimbursement for higher-severity visits and suggest a mix of acuity concentrated at lower- to moderate-severity presentations but with a nontrivial high-severity caseload.

Competitive standing within Nebraska varies by code: for 99283 this provider ranks #7 of 139 in-state and is described as "notably above typical state volume" (96th percentile), marking it as a relatively large provider for low-complexity ED visits. By contrast 99284 ranks #10 of 112 (92th percentile) and 99285 ranks #11 of 78 (87th percentile) and are both characterized as "typical, unremarkable volume," indicating above-average but not dominant statewide presence on those codes.

Critical care (99291) appears in the Medicaid mix but is a very small revenue driver: 317 claims produced $36.1K (0.7% of total Medicaid revenue) and the provider ranks #7 of 15 in-state (57th percentile) for that code. This suggests the practice occasionally delivers time-based critical care in the ED but does not rely on it as a major revenue stream or defining service line.

There are non-revenue or low-revenue billing signals worth noting: 99053 shows 10.6K claims with $0 revenue (rank #2 of 5, 75th percentile), and 71045 shows 112 claims for $112 total revenue. The 99053 volume indicates frequent reporting of overnight facility presence at a 24-hour site on claim lines without direct Medicaid reimbursement, which is operationally notable even though it does not materially affect revenue.

Tenure and market footprint: the provider's NPI was enumerated on 2015-04-02 (~11 years ago), indicating an established presence in the market with multiple years to develop referral patterns and payer relationships. Given the large counts for key ED codes (e.g., 29.1K claims for 99283 and 25.9K claims for 99284), the organization operates at scale in Medicaid emergency care despite being concentrated on a narrow set of CPTs.

Overall, the financial and coding profile describes a Medicaid-focused emergency medicine group whose revenue is almost entirely driven by E/M ED encounters (top 3 codes = 99.0% of Medicaid revenue). The provider is a sizable state-level participant for low-complexity ED visits (99283) and an above-average but not dominant performer for moderate- and high-complexity visits, with limited critical care revenue and several high-claim, low- or zero-revenue service lines present in claims data.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	25,920	$80	$2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	29,120	$60	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10,410	$110	$1.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	320	$110	$36.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	290	$40	$10.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	110	$1	$110
99053	The provider renders overnight services at a 24 hour facility.	10,630	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nebraska Distribution

Emergency Physician Associates Of Nebraska PC — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	110	770	$110	$774.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7	140	1,100	$110	$607.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11	80	300	$120	$519.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	59	90	600	$90	$156.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	58	80	390	$10	$75.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7	20	230	$110	$58K
99053	The provider renders overnight services at a 24 hour facility.	2	10	90	$1	$130

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physician Associates Of Nebraska PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julius Patrick Aguas	CT	Emergency Medicine Physician	$62.6K	$0
Patrick Mulherin	SC	Emergency Medicine Physician	$60.7K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Physician Associates Of Nebraska PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Father Flanagan's Boys' Home	NE	Pediatrics Physician	$0	$23.1M
Father Flanagan's Boys' Home	NE	Children's Hospital	$0	$16.2M
Dialysis Clinic Inc.	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
Midwest Eye Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.8M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Haysam Akkad	NE	Interventional Cardiology Physician	$817.6K	$0
Pamela Helem	NE	Mental Health Counselor	$0	$680.9K

Emergency Physician Associates Of Nebraska PC — Billing Profile & Reimbursement Data

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Emergency Physician Associates Of Nebraska PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References