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NPI 1073608204 · Beatrice, NE · Rural Health Clinic/Center
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Beatrice Community Hospital & Health Center Inc is a rural health clinic/center provider located in Beatrice, Nebraska. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Beatrice Community Hospital & Health Center Inc |
| Address | 4800 Hospital Pkwy Ste 202 |
| City | Beatrice |
| State | NE |
| ZIP | 68310 |
| Taxonomy | Rural Health Clinic/Center |
| NPI Enumerated | October 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.2M |
| Medicare | $0 |
This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all reported lifetime revenue comes from Medicaid ($5.2M). That concentration makes Medicaid the operational and strategic revenue driver for the organization.
Revenue is highly concentrated in three codes: the precomputed top‑3 Medicaid codes account for 85.7% of the provider’s total Medicaid revenue, led by 99213 ($2.5M, 48.6%), followed by 99214 ($1.6M, 30.9%), and 90837 ($315.6K, 6.1%). This concentration suggests that a small set of outpatient evaluation/management and psychotherapy services underpin the bulk of Medicaid receipts.
The code mix points to a core outpatient primary care function with integrated behavioral health: high volumes of 99213 (15.2K claims) and 99214 (6.9K claims) indicate routine established‑patient office visits and chronic disease management, while 90837 (2K claims) signals substantial long‑form psychotherapy capacity. These patterns are consistent with the provider’s Rural Health Clinic/Center taxonomy and imply staffing and workflows oriented toward frequent face‑to‑face primary care and scheduled mental‑health visits.
Competitive standing for the top revenue codes is mixed when read with the provided plain‑English labels: 99213 ranks #40 of 696 in‑state (94th percentile; typical, unremarkable volume) and 99214 ranks #54 of 596 (91th percentile; typical, unremarkable volume), which places the provider in the upper state distribution for these E/M codes even though the characterization provided calls the volumes typical. In short, the facility occupies a relatively strong state position on core office visit codes while being described in the source as not an extreme outlier.
A smaller but notable footprint exists in lower‑level E/M and preventive visits: 99212 ($216.1K, 4.2%) ranks #15 of 254 (94th percentile; notably above typical state volume) and preventive codes such as 99391 ($156.4K), 99392 ($107.6K) and 99393 ($61.4K) appear across the top line items. The presence of both higher‑volume established‑patient visits and routine preventive visits suggests the clinic manages a broad primary care panel spanning wellness, pediatric, and chronic care visits.
Behavioral health services are a visible secondary service line: 90837 accounts for $315.6K (6.1% of Medicaid revenue) and 90834 contributes $56.5K (1.1%), with 90837 ranked #74 of 511 in‑state (85th percentile; typical, unremarkable volume). These counts and rankings imply an embedded psychotherapy program that materially contributes to revenue and patient care mix, rather than a marginal offering.
Vaccinations and minor procedure codes generate only a small share of revenue (for example, 90686 $11.8K, 90670 $3.8K and multiple pediatric vaccine codes each under $1.2K), and their in‑state ranks are generally mid‑range to low‑range with labels of typical volume. This pattern suggests immunization and preventive procedures are provided routinely but are not a primary revenue driver for the clinic.
The NPI has been enumerated since 2006-10-04 (~20 years ago), indicating an established presence in the community. Combined with the Rural Health Clinic/Center taxonomy and the heavy reliance on Medicaid E/M and psychotherapy codes, the tenure supports an interpretation of this entity as a stable, community‑based primary care hub with integrated behavioral health services rather than a new or specialized outpatient entrant.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 15,200 | $170 | $2.5M |
| 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… | 6,890 | $230 | $1.6M |
| 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… | 2,040 | $160 | $315.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 2,140 | $100 | $216.1K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 1,880 | $80 | $156.4K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 1,200 | $90 | $107.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 310 | $330 | $101K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 660 | $90 | $61.4K |
| 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… | 430 | $130 | $56.5K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 210 | $100 | $21.6K |
Showing 1–10 of 22
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 40 | 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… | 54 | 600 | 610 | $70 | $251.4K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 20 | 70 | 360 | $80 | $234.7K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 20 | 70 | 230 | $90 | $222.7K |
| 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… | 262 | 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… | 74 | 510 | 440 | $140 | $155.7K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 14 | 70 | 100 | $100 | $100.9K |
| 94640 | The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that… | 28 | 30 | 440 | $60 | $99.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 27 | 90 | 100 | $80 | $54.7K |
| 99203 | The provider sees a new 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 provider… | 169 | 190 | 130 | $70 | $48.5K |
Showing 1–10 of 22
Other providers in the same ZIP code as Beatrice Community Hospital & Health Center Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Blue Valley Behavioral Health Inc | NE | Community/Behavioral Health Agency | $0 | $14.7M |
| City Of Beatrice | NE | Ambulance | $332.9K | $491.1K |
| Beatrice Family Chiropractic, PC | NE | Chiropractor | $0 | $284.3K |
| Gleason Family Dental Clinic, P.C. | NE | General Practice Dentistry | $0 | $245.8K |
| Ryan Wade | NE | Physical Therapist | $177K | $0 |
| Deines Pharmacy, LLC | NE | Community/Retail Pharmacy | $111.8K | $27.4K |
| Clabaugh Pharmacy Inc | NE | Community/Retail Pharmacy | $109.8K | $40 |
| Steven Sandman | NE | Optometrist | $78.9K | $0 |
| Brett Studley | NE | Emergency Medicine Physician | $51.1K | $0 |
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