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.

Alegent Creighton Health (NPI 1033288923)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alegent Creighton Health
Address	6901 N 72nd St
City	Omaha
State	NE
ZIP	68122
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation at scale, reporting Total Medicaid revenue of $17.5M. Absence of Medicare activity makes Medicaid the primary driver of revenue and utilization for this NPI, so payer-strategy and network negotiations should be evaluated in a Medicaid-first context.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes by revenue account for 51.5% of the provider's total Medicaid revenue. Those top three codes are 99214 ($3.9M, 22.6%), 90792 ($2.7M, 15.5%), and 90834 ($2.3M, 13.4%), indicating more than half of Medicaid dollars come from a focused mix of office E/M and behavioral health services.

The code mix signals a blended ambulatory behavioral-health and E/M practice model: 99214 (57.1K claims) is the largest single revenue code and represents mid-level established-patient office visits, while 90792 (11.7K claims) and 90834 (31.1K claims) are psychiatric evaluation and longer psychotherapy services. The combination of high-volume psychotherapy, psychiatric evaluation, and routine E/M visits suggests the provider operates substantial outpatient behavioral-health clinics alongside primary/internal medicine E/M services.

Competitive standing in-state is dominant for multiple behavioral-health and inpatient follow-up codes. The provider ranks at or near the top for several codes — for example, 90792 ranks #1 of 87 providers in-state (100th percentile; extreme outlier), 90834 ranks #1 of 510 providers in-state (100th percentile; extreme outlier), and 90833 ranks #1 of 64 providers in-state (100th percentile; extreme outlier) — characterizing the entity as a major provider of these services within Nebraska.

Several inpatient/hospital services are also unusually concentrated, indicating significant facility-based or hospital-affiliated activity. Codes such as 99232 (32.4K claims, $1.4M revenue; ranks #3 of 50, 96th percentile; notably above typical state volume) and 99231 (10.8K claims, $258.6K revenue; ranks #1 of 21, 100th percentile; extreme outlier) show elevated hospital follow-up and observation-care volumes, consistent with a provider that manages both inpatient and outpatient caseloads.

There are multiple statistically notable outliers that reinforce a behavioral-health specialization: 90870 (9.1K claims, $255.7K revenue) ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume), and high-volume telehealth-like codes 99443 and 99442 each rank #1 in-state (100th percentile and 100th percentile respectively for those listed), suggesting strong penetration in specific service modalities. Where the dataset labels a code as an "extreme outlier" or "notably above typical state volume," this provider consistently appears in those highest categories for several psychiatric and follow-up care codes.

Operational risk and opportunity notes for payers: with more than half of Medicaid revenue concentrated in three codes and multiple #1 statewide ranks, negotiations, utilization review, and network adequacy assessments should focus on behavioral-health service lines and inpatient-to-outpatient care transitions. High claim volumes for psychotherapy (90834, 90833, 90837) and psychiatric evaluations (90792) mean any changes to coverage, prior authorization, or rate-setting for these codes could materially affect the provider's Medicaid revenue.

The provider has long tenure on file, with NPI enumerated (registered) on 2006-11-07 (~20 years ago), indicating an established presence in the market. Combined with the high statewide ranks and concentrated Medicaid revenue, this longevity supports the interpretation that the provider is a sustained regional leader in behavioral-health and hospital follow-up services rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	57,150	$70	$3.9M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	11,730	$230	$2.7M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	31,150	$80	$2.3M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	35,530	$60	$2.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	11,130	$130	$1.5M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	32,400	$40	$1.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	19,200	$50	$921.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,810	$100	$373.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,620	$60	$343.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6,230	$50	$299.2K

Showing 1–10 of 40

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

Alegent Creighton Health — 14 of 25 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

40 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.	104	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.	109	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.	59	80	300	$120	$519.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	24	700	660	$70	$305.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8	600	610	$70	$251.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8	30	630	$50	$250.1K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	1	10	1,780	$80	$232.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3	50	670	$30	$186.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1	510	450	$100	$168.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4	510	440	$140	$155.7K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Bergan Mercy Health System	NE	General Acute Care Hospital	$0	$45.8M
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$4.3M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$3M
Alegent Creighton Health	NE	Community/Retail Pharmacy	$0	$822.1K
Alegent Creighton Health	NE	Rural Health Clinic/Center	$0	$347.1K
Gregory Schafer	NE	Internal Medicine Physician	$161.1K	$0
Angela Chambers	NE	Medical Physician Assistant	$130.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Immanuel Medical Center	NE	General Acute Care Hospital	$0	$23.7M
Emergency Clinicians Associates, LLC	NE	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.5M
Samer Renno	NE	Hematology & Oncology Physician	$3.2M	$0
Inaganti Shah	NE	Hematology & Oncology Physician	$2M	$0
Alegent Health Immanuel Medical Center	NE	Psychiatric Hospital Unit	$0	$847.8K
Matthew Brumm	NE	Ophthalmology Physician	$593.3K	$0
Hematology & Oncology Consultants, PC	NE	Hematology & Oncology Physician	$0	$578.6K
Abraham Mathews	NE	Hematology & Oncology Physician	$369.1K	$0
Bruce H Brumm Md PC	NE	Ophthalmology Physician	$0	$362.6K
Bruce Baron	NE	Diagnostic Radiology Physician	$282.4K	$0

Alegent Creighton Health — 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