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.

East Lincoln Family Health Professionals, PC (NPI 1114032281)

East Lincoln Family Health Professionals, PC is a family medicine physician provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 20 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	East Lincoln Family Health Professionals, PC
Address	4545 South 86th St
City	Lincoln
State	NE
ZIP	68526
Taxonomy	Family Medicine Physician
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$623K
Medicare	$0

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

20 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…	5,770	$60	$352.2K
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…	3,210	$80	$243.9K
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,…	280	$40	$10K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	320	$10	$3.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	160	$20	$2.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	130	$20	$2.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,050	$1	$2.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	70	$30	$1.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	$100	$1.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	$100	$1.2K

Showing 1–10 of 20

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

East Lincoln Family Health Professionals, 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

20 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…	114	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…	116	600	610	$70	$251.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	61	70	100	$100	$100.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	104	110	70	$100	$43.2K
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,…	92	250	140	$60	$29.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	99	210	110	$10	$19.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	145	270	1,170	$1	$16.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	80	90	150	$30	$15.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	97	130	200	$20	$13.3K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	98	140	180	$20	$12.6K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alivation Health, LLC	NE	Psychiatry Physician	$0	$6.5M
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Silver Sun Mental Health	NE	Counselor	$0	$1.6M
Pine Lake Behavioral Health, LLC.	NE	Clinic/Center	$0	$970.8K
Complete Family Dentistry	NE	Dentist	$0	$915.8K
Charles Whitten	NE	Pain Medicine (Anesthesiology) Physician	$804.5K	$0
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Nebraska Heart Hospital	NE	General Acute Care Hospital	$0	$398.2K
Harpaul Bajwa	NE	Interventional Cardiology Physician	$386.4K	$0
Health At Home Consultants LLC	NE	Adult Health Nurse Practitioner	$0	$386.1K

East Lincoln Family Health Professionals, PC — Billing Profile & Reimbursement Data

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East Lincoln Family Health Professionals, 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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