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.

Methodist Fremont Health (NPI 1033698543)

Key Findings

Field	Value
Entity Type	Organization
Organization	Methodist Fremont Health
Address	450 E 23rd St
City	Fremont
State	NE
ZIP	68025
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	August 7, 2018

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is $7.9M, so Medicaid is the only visible payer driving billed volume and revenue in the available data. The absence of Medicare billing limits direct comparison to national Medicare peers and concentrates financial exposure to Medicaid policy and rates.

Revenue is highly concentrated in a small set of outpatient/ED and infusion codes: the top three Medicaid codes (41899, 99283, 96361) account for 53.9% of the provider’s Medicaid revenue, with 41899 at $1.6M (22.0%), 99283 at $1.5M (21.3%), and 96361 at $764.5K (10.6%). This concentration means a few service lines—dental/odontologic procedures, emergency department E/M, and IV hydration/infusion—are the primary revenue drivers.

The operational mix is strongly emergency-centered: 99283 has 10.5K claims ($147 avg paid/claim, $1.5M revenue) and other ED E/M codes appear in the top line items (99284: 5.6K claims, 99282: 4.8K claims, 99285: 1.8K claims). Alongside those ED visit codes, infusion codes (96361: 2.3K claims, $335 avg paid/claim; 96365: 1.3K claims) point to frequent IV therapy for dehydration and medication administration, consistent with a rural acute care hospital that manages high volumes of urgent and acute presentations.

41899 (reported $1.6M revenue, $1611 avg paid/claim) is an unusually large revenue contributor for a hospital line item that describes procedures on the teeth and adjoining alveolar structures; it ranks #8 of 17 in-state (56th percentile). That placement and the high avg paid/claim suggest the facility bills for dentistry-related procedures or dental emergencies through the hospital setting rather than purely outpatient dental clinics.

Competitive standing is mixed across codes: the provider ranks at or above typical statewide volumes on several high-impact services (99283 ranks #22 of 139, 85th percentile; 99282 ranks #8 of 92, 92nd percentile), indicating above-average ED throughput in the state for those E/M levels, while infusion and imaging codes sit nearer to the middle of peer distributions (96361 ranks #14 of 37, 64th percentile; 74177 ranks #23 of 50, 55th percentile). Overall this points to a modest-to-strong regional role in emergency and acute outpatient services rather than dominance across all clinical lines.

There are clear testing and lab outliers: U0002 is an extreme outlier (ranks #1 of 27, 100th percentile) with 2.2K claims and $88.7K revenue, and 87502 is notably above typical (ranks #3 of 65, 97th percentile) with 2K claims and $135.1K revenue. Those rankings indicate the hospital performed COVID and multiplex influenza/respiratory testing at volumes far above most in-state peers during the measurement period, signaling meaningful onsite lab/testing capacity for respiratory pathogens.

The provider posts very high claim counts on some low-unit-price diagnostic panels—80053 shows 13.1K claims at $5 avg paid/claim ($65.6K revenue)—which, together with high-volume E/M coding, reinforces that the facility handles substantial episodic outpatient throughput with many low-reimbursement ancillary services supporting ED and urgent care encounters. This pattern is consistent with a rural acute care hospital that blends high visit counts with lower-paid diagnostics.

The NPI has been enumerated since 2018-08-07 (~8 years ago), indicating multiple years of recorded activity under this identifier. Combined with recurring high claim volumes in ED and lab codes (for example, 10.5K claims for 99283 and 13.1K claims for 80053), the data suggest established operational activity rather than a short-term or newly opened billing pattern.

Medicaid: Complete Services Breakdown

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

154 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	980	$1,610	$1.6M
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.	10,460	$150	$1.5M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2,280	$340	$764.5K
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.	5,590	$130	$710.4K
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.	4,800	$100	$499.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	960	$340	$324.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,120	$250	$283.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,410	$70	$221.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,320	$170	$218.1K
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.	1,770	$100	$181.8K

Showing 1–10 of 154

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

Methodist Fremont Health — 2 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

154 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	20	460	$1,260	$1.8M
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.	29	110	770	$110	$774.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	14	40	820	$260	$734.1K
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.	22	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.	23	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	23	50	820	$160	$461.3K
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…	406	700	660	$70	$305.1K
G0378	Hospital observation service, per hour	24	30	950	$120	$276.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	24	50	830	$90	$269K
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…	591	600	610	$70	$251.4K

Showing 1–10 of 154

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Fremont Health	NE	Internal Medicine Physician	$0	$2.7M
Fremont Health	NE	Rural Acute Care Hospital	$0	$656K
Tyron Alli	NE	Gastroenterology Physician	$614.7K	$0
Jason Cisler	NE	Gastroenterology Physician	$501K	$0
Rebecca Ehlers	NE	Gastroenterology Physician	$498K	$0
John Cannella	NE	Gastroenterology Physician	$481.4K	$0
Kimberly Harmon	NE	Gastroenterology Physician	$431.5K	$0
Helen Fasanya-uptagraft	NE	Gastroenterology Physician	$422.4K	$0
Alexander Bernal	NE	Gastroenterology Physician	$397.9K	$0
Benjamin Hall	NE	Gastroenterology Physician	$388.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.2M
Pediatric Partners L.L.C.	NE	Family Nurse Practitioner	$0	$2.8M
Fcd Smiles, PC	NE	Pediatric Dentistry	$0	$1.7M
Muhammad Haroon	NE	Hematology & Oncology Physician	$1.4M	$0
Albert Behavioral Health LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Fremont Children's Dentistry, LLC	NE	Pediatric Dentistry	$0	$1M
Midwest Anesthesia P.C.	NE	Interventional Pain Medicine Physician	$0	$959.9K
Hand In Hand Therapy LLC	NE	Mental Health Counselor	$0	$874.7K
Me Urgent Care Nebraska, Inc	NE	Urgent Care Clinic/Center	$0	$769.7K
City Of Fremont	NE	Land Ambulance	$318.8K	$311.3K

Methodist Fremont 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