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.

Gerald Matzke (NPI 1154345973)

Field	Value
Entity Type	Individual
Organization	Gerald Matzke
Address	918 20th Street
City	Gothenburg
State	NE
ZIP	69138
Taxonomy	Sports Medicine (Family Medicine) Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicare	$64.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	250	$120	$30.9K
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.	230	$80	$17.9K
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.	200	$50	$10.2K
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…	70	$60	$3.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$870
99203	The provider sees a new 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 provider…	10	$40	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Gerald Matzke — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	26	270	110	$130	$15.8K
99213	1,831	3,220	90	$50	$7.9K
99284	19	320	70	$80	$7.4K
99203	941	1,030	30	$60	$3.3K
99283	1	230	30	$50	$1.9K
99282	8	40	20	$30	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hays Medical Center, Inc.	KS	Rural Health Clinic/Center	$0	$2.3M
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Hays Medical Center, Inc.	KS	Internal Medicine Physician	$0	$1.1M
Quality Urgent Care	NE	Urgent Care Clinic/Center	$0	$922.6K
Uma Guniganti	OK	Cardiovascular Disease Physician	$797.5K	$0
First Care Medical, PC	NE	Clinic/Center	$0	$725.6K
Hays Medical Center Inc	KS	General Acute Care Hospital	$0	$595.8K
Matthew Mallory	AR	Radiation Oncology Physician	$570.4K	$0
Surekha Boddipalli	IL	Hematology & Oncology Physician	$430.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gothenburg Memorial Hospital	NE	Rural Health Clinic/Center	$0	$1.7M
Gothenburg Memorial Hospital	NE	Critical Access Hospital	$0	$1.4M
New Hope Counseling, Inc.	NE	Mental Health Counselor	$0	$732.9K
Audrey Aden	NE	Dentist	$0	$566.2K
Life Transitions	NE	Mental Health Counselor	$0	$231.6K
James Graff	NE	General Practice Dentistry	$0	$194.7K
Gothenburg Discount Pharmacy Inc.	NE	Community/Retail Pharmacy	$90.4K	$0
Autumn Ambler	NE	Speech-Language Pathologist	$6.6K	$0

Gerald Matzke — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References