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.

Centerpointe, Inc (NPI 1104362318)

Field	Value
Entity Type	Organization
Organization	Centerpointe, Inc
Address	1490 N 16th St
City	Omaha
State	NE
ZIP	68102
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	January 11, 2017

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Key Findings

This provider is effectively a single‑payer operation in the Medicare/Medicaid mix: there is no Medicare billing on file and total Medicaid revenue is $4.4M, so Medicaid represents the entirety of recorded lifetime public-payer revenue for this NPI. The absence of Medicare activity prevents any national Medicare peer comparison for this entity.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and H0018 alone is reported with $4.4M revenue (100.0% of this provider's total Medicaid revenue). This concentration means a substantial share of the provider’s financial performance relies on a very small set of billing codes.

The operational footprint implied by the dominant code is focused on short‑term residential behavioral health: H0018 is billed as "Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem" and is reported at 1.1K claims with a $3857 avg paid/claim and $4.4M revenue (100.0% of this provider's total Medicaid revenue). That mix is consistent with a facility-oriented, per‑diem reimbursement model rather than outpatient micro‑encounter services.

A secondary code, H0038 (Self-help/peer services, per 15 minutes), appears frequently in the encounter record (459 claims) but shows $0 avg paid/claim and $0 revenue (0.0% of this provider's total Medicaid revenue), suggesting these peer/self‑help encounters are being recorded without separate Medicaid payments (for example, billed but not paid, bundled into per‑diem rates, or reported for encounter-tracking rather than fee‑for‑service reimbursement). H0038 ranks #15 of 20 providers in-state (26th percentile; typical, unremarkable volume for this code).

On competitive standing within the state for its revenue-driving treatment type, the provider is a modest participant: H0018 ranks #11 of 17 providers in-state (38th percentile; typical, unremarkable volume for this code), indicating neither a dominant nor a marginal position among peers for short‑term residential billing. The absence of Medicare billing also means it does not compete on the national Medicare stage.

The provider has an established NPI presence dating to 2017-01-11 (~9 years ago), which indicates multi‑year enrollment and an operational history sufficient to generate the reported Medicaid volumes. This tenure supports observed billing patterns but does not, by itself, indicate scale beyond the $4.4M Medicaid revenue reported.

From a business risk and operational perspective, reliance on a single high‑value per‑diem code (H0018 at $3857 avg paid/claim) concentrates reimbursement exposure: policy, rate, or coverage changes affecting H0018 would likely have an outsized impact on overall Medicaid revenue. Conversely, the $0‑paid ancillary reporting for H0038 suggests either bundled service delivery or administrative encounter reporting rather than a meaningful separate revenue stream.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,140	$3,860	$4.4M
H0038	Self‑help/peer services, per 15 minutes	460	$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

Centerpointe, Inc — 0 of 1 code 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11	20	1,430	$580	$2.6M
H0038	Self‑help/peer services, per 15 minutes	15	20	1,050	$40	$72.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerpointe, Inc.	NE	Substance Abuse Rehabilitation Facility	$0	$5.1M
Centerpointe, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.7M
Centerpointe, Inc.	NE	Addiction (Substance Use Disorder) Counselor	$0	$4.3M
Centerpointe, Inc.	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Centerpointe, Inc.	NE	Mental Illness Community Based Residential Treatment Facility	$0	$2.1M
Centerpointe, Inc	NE	Case Management Agency	$0	$1.7M
Rhonda Woodside	OR	Adult Health Nurse Practitioner	$19.5K	$0

Nearby Providers

Other providers in the same ZIP code as Centerpointe, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Omaha	NE	Land Ambulance	$2.2M	$10.5M
Intelliride, A Division Of Transdev	NE	Transportation Broker	$0	$5.9M
Arron Cleaver-mcwilliams	NE	Pediatric Dentistry	$0	$1.4M
Advanced Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$673.9K	$0
Neepa Modi	NE	General Practice Dentistry	$0	$612.9K
Step Ahead Aba LLC	NE	Community/Behavioral Health Agency	$0	$584.6K
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$571K
Summit Dental Health - Old Market LLC	NE	General Practice Dentistry	$0	$543.5K
Nebraska Dental Anesthesia, LLC	NE	Dental Anesthesiology	$0	$542.9K
Intelliride, A Division Of Transdev	NE	Transportation Broker	$0	$358.1K

Centerpointe, Inc — Billing Profile & Reimbursement Data

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Centerpointe, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References