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.

Omaha Tribe Of Nebraska (NPI 1114922143)

Field	Value
Entity Type	Organization
Organization	Omaha Tribe Of Nebraska
Address	923 Senior Circle
City	Macy
State	NE
ZIP	68039
Taxonomy	Clinic/Center
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicaid	$16M
Medicare	$0

Key Findings

OMAHA TRIBE OF NEBRASKA is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports Total Medicaid revenue of $16M, indicating the organization’s clinical footprint and payer exposure are concentrated in the Medicaid population rather than Medicare. This profile implies limited exposure to Medicare-specific fee schedules and program rules.

Revenue is extremely concentrated in a single code set: the precomputed top 3 Medicaid codes account for 97.7% of the provider’s total Medicaid revenue, with T1015 alone representing $15.2M (95.0% of total Medicaid revenue), 27.5K claims, and an average paid/claim of $553. This concentration means the provider’s financial performance is heavily dependent on reimbursement and utilization patterns for T1015.

The code mix indicates the operation functions primarily as an all-inclusive outpatient clinic: T1015 (Clinic visit/encounter, all-inclusive) dominates billing, supported by high-volume E/M codes such as 99213 (12.9K claims, $25 avg paid/claim, $322.5K revenue) and 99211 (2.3K claims, $49 avg paid/claim, $110.5K revenue). Together, these codes point to routine primary care and low-acuity established-patient visits as the core service line rather than specialty procedural work.

Competitive standing for the top Medicaid codes is mixed but generally solid within the state: T1015 ranks #6 of 44 providers in-state (88th percentile; typical, unremarkable volume for this code), 99213 ranks #49 of 696 providers in-state (93th percentile; typical, unremarkable volume for this code), and 99211 ranks #6 of 87 providers in-state (94th percentile; typical, unremarkable volume for this code). These rankings indicate the provider is a meaningful in-state participant on its highest-revenue code and holds comparatively high percentile positions on core E/M services, though the descriptors note volumes are typical rather than outlier-level.

Beyond the dominant visit codes, the billing mix includes primary care–adjacent services that support a full ambulatory clinic model: laboratory panels and tests (85025, 80053, 83036), influenza vaccination (90686), basic physical therapy codes (97110, 97140, 97161), and ambulance/transport lines (A0425, A0429). The presence of these codes suggests integrated preventive, diagnostic, therapy, and transportation capabilities consistent with a community clinic or tribal health center.

The provider’s dependence on T1015 creates a concentrated payment risk: with 95.0% of Medicaid revenue tied to a single all-inclusive clinic visit code, any payer policy shift, audit focus, or coding change affecting T1015 reimbursement would have a large impact on overall revenue. Analysts should prioritize monitoring T1015 utilization, reimbursement rates, and any program guidance that could change bundled encounter payments.

Tenure on file shows the NPI was enumerated on 2005-06-16 (~21 years ago), indicating long-standing enrollment that may reflect sustained community presence and established administrative/billing processes. This longevity can support stable patient relationships underlying high volumes of established-patient E/M claims.

Across the detailed code list, no procedures are flagged as extreme outliers in the supplied descriptors; most additional codes are described as "typical, unremarkable volume for this code," suggesting the provider’s activity pattern aligns with common in-state practice profiles rather than exhibiting unusual specialty concentration or rare-procedure billing. Reviewers should nevertheless note the unusual combination of high T1015 concentration alongside routine ancillary services when benchmarking against peers.

Medicaid: Complete Services Breakdown

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,460	$550	$15.2M
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…	12,900	$30	$322.5K
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.	2,260	$50	$110.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,030	$50	$103.4K
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…	2,380	$40	$95.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	210	$140	$28.9K
0011A	N/A	250	$70	$18.5K
0012A	N/A	210	$70	$15.8K
A0425	Ground mileage, per statute mile	210	$70	$14.3K
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…	1,670	$10	$11.7K

Showing 1–10 of 73

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

Omaha Tribe Of Nebraska — 0 of 25 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

73 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	40	1,930	$230	$2.3M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	25	30	730	$110	$424.2K
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…	49	700	660	$70	$305.1K
A0425	Ground mileage, per statute mile	28	50	350	$30	$280.1K
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…	149	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…	63	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…	38	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…	270	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…	404	510	440	$140	$155.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	153	210	660	$40	$122.6K

Showing 1–10 of 73

Related Providers

Other providers that share a Tax Identification Number (TIN) with Omaha Tribe Of Nebraska, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omaha Tribe Of Nebraska	NE	Dental Clinic/Center	$0	$2.1M
Omaha Tribe Of Nebraska	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$423.4K
Brandon Ridder	NE	Optometrist	$142.3K	$47.1K
Arvin Santos	SD	Nephrology Physician	$168.9K	$0
Frank Marino	IA	Family Medicine Physician	$149.5K	$0
Daniel Schipper	NE	Physician Assistant	$129.2K	$0
Kham Ung	IA	Foot & Ankle Surgery Podiatrist	$56.3K	$0
Jacob Kringle	NE	Physical Therapist	$33.9K	$0

Nearby Providers

Other providers in the same ZIP code as Omaha Tribe Of Nebraska, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Traci Jenkins	NE	Primary Care Nurse Practitioner	$14K	$0

Omaha Tribe Of Nebraska — Billing Profile & Reimbursement Data

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Omaha Tribe Of Nebraska — 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