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.

Mypaindoc, P.C. (NPI 1104109321)

Field	Value
Entity Type	Organization
Organization	Mypaindoc, P.C.
Address	4307 23rd St
City	Columbus
State	NE
ZIP	68601
Taxonomy	Pain Clinic/Center
NPI Enumerated	September 23, 2011

Payer Source	Total Paid
Medicaid	$284.4K
Medicare	$0

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
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…	7,490	$20	$179.8K
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…	2,730	$40	$101K
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,…	60	$20	$1.2K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	30	$30	$890
J1030	Injection, methylprednisolone acetate, 40 mg	150	$10	$740
J1040	Injection, methylprednisolone acetate, 80 mg	90	$10	$510
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	130	$1	$260
J1885	Injection, ketorolac tromethamine, per 15 mg	30	$0	$0
J3010	Injection, fentanyl citrate, 0.1 mg	30	$0	$0

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

Mypaindoc, P.C. — 0 of 7 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
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…	85	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…	130	600	610	$70	$251.4K
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,…	168	250	140	$60	$29.7K
J3010	Injection, fentanyl citrate, 0.1 mg	34	40	600	$1	$9K
J1885	Injection, ketorolac tromethamine, per 15 mg	39	40	370	$1	$8.3K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	5	10	30	$110	$4.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	9	20	140	$1	$2K
J1040	Injection, methylprednisolone acetate, 80 mg	5	10	30	$10	$1.1K
J1030	Injection, methylprednisolone acetate, 40 mg	2	10	50	$1	$210

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mypaindoc, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Wik	NE	Physical Medicine & Rehabilitation Physician	$89.6K	$0
Lisa Ostendorf	NE	Nurse Practitioner	$52.3K	$0
Sherry Kropatsch	NE	Psychiatric/Mental Health Nurse Practitioner	$32K	$1.5K
Nichole Cosgrove	NE	Nurse Practitioner	$8.9K	$0

Nearby Providers

Other providers in the same ZIP code as Mypaindoc, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Columbus Community Hospital Inc	NE	General Acute Care Hospital	$0	$8.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Cch Pediatric Clinic PC	NE	Pediatrics Physician	$0	$3.1M
Columbus Urgent Care LLC	NE	Urgent Care Clinic/Center	$0	$1.4M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Columbus Physical Therapy, P.C.	NE	Physical Therapist	$0	$785K
Peter Diedrichsen	NE	Ophthalmology Physician	$749.8K	$0
Columbus Family Practice Associates, P.C.	NE	Family Medicine Physician	$0	$716.2K

Mypaindoc, P.C. — Billing Profile & Reimbursement Data

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Mypaindoc, P.C. — Billing Profile & Reimbursement Data

Sign up for Mypaindoc, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References