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.

North Platte Nebraska Hospital Corporation (NPI 1134355332)

Key Findings

Field	Value
Entity Type	Organization
Organization	North Platte Nebraska Hospital Corporation
Address	601 W Leota St
City	North Platte
State	NE
ZIP	69101
Taxonomy	Medical Oncology Physician
NPI Enumerated	June 3, 2009

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file while total Medicaid revenue is $9.5M, indicating Medicaid is the material revenue source for this NPI. The absence of Medicare billing suggests the NPI’s billing activity is concentrated within state Medicaid programs rather than national Medicare volumes.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 65.5% of the provider’s total Medicaid revenue, with 99214 contributing $2.8M (30.9%), 99213 contributing $2.4M (26.1%), and 99284 contributing $773.8K (8.5%). This concentration implies that a small set of E/M services drive the large majority of reported Medicaid receipts.

The service mix is dominated by evaluation-and-management activity: the two largest codes are 99214 (48.8K claims) and 99213 (49.8K claims), both office/outpatient E/M codes, and the third is 99284 (11.2K claims), an ED E/M code. Taken together, this pattern points to high outpatient and emergency-department throughput rather than procedure-heavy oncology billing in the top code list, and suggests the NPI functions as a high-volume front-line clinical site providing routine, urgent, and follow-up care.

Competitive standing for office visits is prominent in-state: 99214 ranks #9 of 596 providers in-state (99th percentile; extreme outlier) and 99213 ranks #12 of 696 (98th percentile; notably above typical state volume). These rankings indicate the provider is a major regional source of established office visit volume, placing it well above typical peers for those core ambulatory services.

Behavioral health and diagnostic testing volumes are also notable: 90792 (psychiatric evaluation) generates $683.4K and ranks #4 of 87 in-state (97th percentile; notably above typical state volume), while 87635 (SARS‑CoV‑2 nucleic acid test) generates $104K and ranks #6 of 104 (95th percentile; notably above typical). The prominence of these non-E/M codes implies the provider delivers a mix of psychiatric evaluation and high-volume diagnostic testing alongside its ambulatory care activity.

Emergency department E/M volumes are meaningful but not outlier-level statewide: 99284 (11.2K claims, $773.8K) ranks #22 of 112 providers in-state and 99283 (13.2K claims, $753.4K) ranks #18 of 139 providers in-state, both described as typical or unremarkable volumes. That pattern suggests ED services are an established component of the operation but are not the primary driver of its exceptional statewide standing.

The provider shows presence in several ancillary and preventive service lines—codes such as 93010 (ECG, $111.3K), 88305 (surgical pathology, $66.7K), and vaccination codes 90686/90670—indicate on‑site diagnostics and preventive care are billed to Medicaid. These ancillary lines diversify revenue beyond pure E/M work and support a facility-style operation that couples outpatient visits with lab, imaging/pathology, and immunization services.

Although specialty services appear in the dataset, they represent modest revenue shares: for example, 90960 (ESRD monthly care) ranks #2 of 14 in-state (92nd percentile; typical, unremarkable volume) but contributes only $30.9K (0.3% of total Medicaid revenue). This suggests the NPI participates in some specialized care streams relative to small statewide peer groups, yet those streams are minor contributors to overall Medicaid revenue compared with core E/M volumes.

Medicaid: Complete Services Breakdown

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

114 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	48,820	$60	$2.8M
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…	49,810	$50	$2.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	11,220	$70	$773.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13,220	$60	$753.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,270	$210	$683.4K
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…	3,330	$80	$279.8K
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…	2,090	$90	$189.9K
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…	1,860	$100	$185.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	2,450	$60	$147.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,050	$30	$141.3K

Showing 1–10 of 114

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

North Platte Nebraska Hospital Corporation — 4 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

114 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	22	110	770	$110	$774.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18	140	1,100	$110	$607.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	38	50	820	$160	$461.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	25	40	350	$170	$366.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	6	10	210	$80	$358.8K
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	700	660	$70	$305.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	39	50	830	$90	$269K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	29	30	280	$450	$266.7K
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…	9	600	610	$70	$251.4K

Showing 1–10 of 114

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Platte Nebraska Hospital Corporation	NE	General Acute Care Hospital	$0	$16.4M
North Platte Nebraska Hospital Corporation	NE	Psychiatric Hospital Unit	$0	$1.3M
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0
Radiology Services, P.C.	NE	Diagnostic Radiology Physician	$0	$795.8K
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Kristen Burwick	NE	Ophthalmology Physician	$447.5K	$0
Pushkar Kanade	OH	Internal Medicine Physician	$392.4K	$0
Jean Thomsen	IA	Anatomic Pathology & Clinical Pathology Physician	$346.3K	$30.2K
Douglas Lake	IA	Diagnostic Radiology Physician	$350.2K	$0
James Haug	CO	Diagnostic Radiology Physician	$326.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Priority Medical Transport LLC	NE	Land Ambulance	$1.4M	$2.3M
Child And Family Therapy Institute Of Nebraska LLC	NE	Mental Health Counselor	$0	$1.3M
Midlands Family Medicine	NE	Family Medicine Physician	$0	$1.3M
North Platte Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.1M	$5.7K
Beacon Of Hope Counseling Center LLC	NE	Mental Health Counselor	$0	$1.1M
Pathology Services, P.C.	NE	Clinical Pathology/Laboratory Medicine Physician	$621.3K	$424.3K
City Of North Platte	NE	Land Ambulance	$542.6K	$405.9K
Rcg North Platte, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$878.4K
Complete Family Medicine L.L.C.	NE	Family Medicine Physician	$0	$845.1K
Inner Reflections Counseling Center	NE	Mental Health Counselor	$0	$704.8K

North Platte Nebraska Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for North Platte Nebraska Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

North Platte Nebraska Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for North Platte Nebraska Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

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