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.

Hematology & Oncology Consultants, PC (NPI 1073686812)

Hematology & Oncology Consultants, PC is a hematology & oncology physician provider located in Omaha, Nebraska. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hematology & Oncology Consultants, PC
Address	6901 N 72nd St
City	Omaha
State	NE
ZIP	68122
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicaid	$578.6K
Medicare	$0

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

14 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…	4,170	$60	$250K
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…	4,200	$40	$163.8K
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…	690	$90	$60.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	690	$70	$46.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	5,910	$10	$29.6K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	510	$30	$12.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,030	$1	$6.1K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	30	$130	$4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	280	$10	$2.5K
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.	50	$30	$1.6K

Showing 1–10 of 14

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

Hematology & Oncology Consultants, PC — 0 of 14 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

14 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…	146	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…	94	600	610	$70	$251.4K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	16	20	800	$190	$241K
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.	28	40	220	$120	$191.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	5	10	320	$130	$149.7K
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…	16	90	100	$80	$54.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	27	150	1,610	$10	$47K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	33	40	1,010	$10	$33.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	68	270	1,170	$1	$16.8K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	3	10	150	$30	$14.4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samer Renno	NE	Hematology & Oncology Physician	$3.2M	$0
Inaganti Shah	NE	Hematology & Oncology Physician	$2M	$0
Rabih Fahed	NE	Hematology & Oncology Physician	$2M	$0
Abraham Mathews	NE	Hematology & Oncology Physician	$369.1K	$0
Hadi Zahra	NE	Radiation Oncology Physician	$200.2K	$0
Amir Zahra	NE	Radiation Oncology Physician	$165.2K	$0
Mohammed Zahra	FL	Radiation Oncology Physician	$127.8K	$0
Susan Schoeneman	NE	Acute Care Nurse Practitioner	$115.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Immanuel Medical Center	NE	General Acute Care Hospital	$0	$23.7M
Alegent Creighton Health	NE	Internal Medicine Physician	$0	$17.5M
Emergency Clinicians Associates, LLC	NE	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.5M
Alegent Health Immanuel Medical Center	NE	Psychiatric Hospital Unit	$0	$847.8K
Matthew Brumm	NE	Ophthalmology Physician	$593.3K	$0
Bruce H Brumm Md PC	NE	Ophthalmology Physician	$0	$362.6K
Bruce Baron	NE	Diagnostic Radiology Physician	$282.4K	$0
Charles Schlaepfer	NE	Diagnostic Radiology Physician	$225.4K	$0
Family Ear Nose & Throat Clinic PC	NE	Otolaryngology Physician	$0	$190.5K
Matthew West	NE	Physical Medicine & Rehabilitation Physician	$181.1K	$0

Hematology & Oncology Consultants, PC — Billing Profile & Reimbursement Data

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Hematology & Oncology Consultants, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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