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.

Integrated Behavioral Health Services (NPI 1043759871)

Field	Value
Entity Type	Organization
Organization	Integrated Behavioral Health Services
Address	2825 S 47th St
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 13, 2017

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Key Findings

INTEGRATED BEHAVIORAL HEALTH SERVICES is effectively a Medicaid-focused behavioral health agency with no Medicare billing on file; its lifetime Medicaid revenue is reported as $16.3M and Medicare revenue is listed as none, indicating single-payer concentration in Medicaid for the observed period. The NPI was enumerated on 2017-02-13 (~9 years ago), establishing nearly a decade of reported activity under this enrollment.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 97.6% of the provider’s total Medicaid revenue. This indicates the organization’s operations and billing are dominated by a few service lines rather than a broad mix of Medicaid billable services.

H2018 is the primary revenue driver, generating $12.1M (74.4% of this provider’s total Medicaid revenue) across 42.9K claims at an average paid per claim of $282; the provider ranks #3 of 12 in-state for H2018 (82th percentile). This positioning and volume indicate the organization is a major state-level provider of psychosocial rehabilitation services delivered on a per-diem basis.

H2015 represents the second revenue stream with $2.6M (16.0% of total Medicaid revenue) across 21.9K claims at $119 avg paid/claim; the provider ranks #6 of 26 in-state (80th percentile). The prevalence of per-15-minute comprehensive community support services (H2015) suggests substantial time-based outpatient or community-based care capacity alongside day- or per-diem rehabilitation.

H0019 contributes $1.2M (7.1% of total Medicaid revenue) from 2.1K claims at $550 avg paid/claim and ranks #3 of 6 in-state (60th percentile), indicating the provider also bills for longer-term residential behavioral health stays without room and board. Together with H2018 and H2015, this mix implies the organization operates across outpatient/community support and longer-term residential treatment settings.

Competitive standing across the top codes is modest-to-strong within Nebraska: ranking #3 for H2018 and #3 for H0019 shows the provider is among the larger state providers for key residential and rehabilitation services, while the #6 rank for H2015 shows solid but not dominant market share in community support services. Most other billed Medicaid codes are very small contributors (for example, 90837 at $105.8K or 0.7% of Medicaid revenue), reinforcing the narrow service-line focus.

The provider’s billing profile reflects operational specialization rather than broad behavioral health service breadth: the dominance of H2018 (psychosocial rehabilitation per diem) combined with time-based H2015 and H2017 claims suggests program structures centered on rehabilitative day programming and community support rather than high volumes of individual psychotherapy codes like 90834/90837. This has implications for reimbursement sensitivity to per-diem and per-interval payment policy changes.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2018	Psychosocial rehabilitation services, per diem	42,930	$280	$12.1M
H2015	Comprehensive community support services, per 15 minutes	21,930	$120	$2.6M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2,110	$550	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	7,390	$40	$266K
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…	880	$120	$105.8K
H0038	Self‑help/peer services, per 15 minutes	250	$40	$9.3K
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…	50	$90	$4.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$140	$4.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	60	$40	$2.2K

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

Integrated Behavioral Health Services — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3	10	2,070	$270	$4.4M
H2018	Psychosocial rehabilitation services, per diem	3	10	12,100	$130	$2.6M
H2015	Comprehensive community support services, per 15 minutes	6	30	3,690	$100	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	10	2,680	$30	$263.8K
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…	434	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…	164	510	440	$140	$155.7K
H0038	Self‑help/peer services, per 15 minutes	16	20	1,050	$40	$72.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	39	50	260	$30	$30.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	83	150	40	$130	$26.8K

Nearby Providers

Other providers in the same ZIP code as Integrated Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Nebraska Emergency Medicine PC	NE	Emergency Medicine Physician	$0	$14.9M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Eric Avery	NE	Hematology & Oncology Physician	$3.1M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0
Pathology Medical Services PC	NE	Anatomic Pathology & Clinical Pathology Physician	$0	$2.1M

Integrated Behavioral Health Services — Billing Profile & Reimbursement Data

Sign up for Integrated Behavioral Health Services — Billing Profile & Reimbursement Data policy alerts

Integrated Behavioral Health Services — Billing Profile & Reimbursement Data

Sign up for Integrated Behavioral Health Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References