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.

Family Medical Center Of Hastings (NPI 1124131032)

Family Medical Center Of Hastings is a family medicine physician provider located in Hastings, Nebraska. This profile covers 0 Medicare and 25 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	Family Medical Center Of Hastings
Address	1021 W 14th St
City	Hastings
State	NE
ZIP	68901
Taxonomy	Family Medicine Physician
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

25 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…	14,750	$60	$855.4K
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…	2,410	$70	$171.1K
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…	840	$20	$13.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	$100	$13.2K
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…	130	$100	$12.9K
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…	130	$90	$11.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	110	$90	$9.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	50	$100	$5.2K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	300	$10	$3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	50	$50	$2.5K

Showing 1–10 of 25

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

Family Medical Center Of Hastings — 0 of 16 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

25 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…	41	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…	145	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…	48	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…	41	70	230	$90	$222.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	49	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.	38	110	70	$100	$43.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	33	70	110	$80	$29.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	87	100	240	$50	$28.4K
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…	37	210	110	$10	$19.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	137	270	1,170	$1	$16.8K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
John Welch	NE	Retina Specialist (Ophthalmology) Physician	$10.2M	$0
William Terrell	NE	Retina Specialist (Ophthalmology) Physician	$8.6M	$0
The Bridge, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$6.8M
South Central Behavioral Services. Inc	NE	Adult Mental Health Clinic/Center	$0	$5.4M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
The Mary Lanning Memorial Hospital Association	NE	Counselor	$0	$3.1M
Hastings Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$238.6K	$2.2M
Retina Center Of Nebraska, P.C.	NE	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
South Central Behavioral Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M

Family Medical Center Of Hastings — Billing Profile & Reimbursement Data

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Family Medical Center Of Hastings — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Schram	NE	Family Medicine Physician	$207.4K	$0
Mackenzie Hemje	NE	Family Medicine Physician	$187.8K	$0
Curtis Reimer	NE	Family Medicine Physician	$180.3K	$0
Logan Pritchard	NE	Family Medicine Physician	$120.2K	$0