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.

Behavioral Medicine Associates LLC (NPI 1063582195)

Field	Value
Entity Type	Organization
Organization	Behavioral Medicine Associates LLC
Address	220 W Leota St
City	North Platte
State	NE
ZIP	69101
Taxonomy	Clinical Psychologist
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$639.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,150	$160	$180.6K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	830	$190	$157.1K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	830	$180	$149.7K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	820	$110	$86.7K
96101	N/A	180	$330	$60.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	30	$110	$3K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	$120	$1.7K
Q3014	Telehealth originating site facility fee	40	$20	$650

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

Behavioral Medicine Associates LLC — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	89	110	140	$100	$38.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2	20	40	$150	$36.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2	10	40	$150	$33.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6	150	40	$130	$26.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	9	10	30	$120	$18.7K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2	20	40	$100	$18.4K
Q3014	Telehealth originating site facility fee	25	30	70	$10	$18K
96101	N/A	1	10	20	$290	$13.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Behavioral Medicine Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Schaffer	NE	Clinical Psychologist	$21.7K	$0

Nearby Providers

Other providers in the same ZIP code as Behavioral Medicine Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Platte Nebraska Hospital Corporation	NE	General Acute Care Hospital	$0	$16.4M
North Platte Nebraska Hospital Corporation	NE	Medical Oncology Physician	$0	$9.5M
Priority Medical Transport LLC	NE	Land Ambulance	$1.4M	$2.3M
Child And Family Therapy Institute Of Nebraska LLC	NE	Mental Health Counselor	$0	$1.3M
Midlands Family Medicine	NE	Family Medicine Physician	$0	$1.3M
North Platte Nebraska Hospital Corporation	NE	Psychiatric Hospital Unit	$0	$1.3M
North Platte Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.1M	$5.7K
Beacon Of Hope Counseling Center LLC	NE	Mental Health Counselor	$0	$1.1M
Pathology Services, P.C.	NE	Clinical Pathology/Laboratory Medicine Physician	$621.3K	$424.3K
City Of North Platte	NE	Land Ambulance	$542.6K	$405.9K

Behavioral Medicine Associates LLC — Billing Profile & Reimbursement Data

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Behavioral Medicine Associates LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References