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    OpenPayerNPI Medicare & MedicaidCenterpointe, Inc.
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    Centerpointe, Inc. — Billing Profile & Reimbursement Data

    NPI 1164588604 · Lincoln, NE · Addiction (Substance Use Disorder) Counselor

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    Centerpointe, Inc. is a addiction (substance use disorder) counselor provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCenterpointe, Inc.
    Address2000 P St
    CityLincoln
    StateNE
    ZIP68503
    TaxonomyAddiction (Substance Use Disorder) Counselor
    NPI EnumeratedDecember 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.3M
    Medicare$0

    Key Findings

    CENTERPOINTE, INC. shows an effectively single-payer billing profile: it has no Medicare billing on file (listed as "none") and reports $4.3M in lifetime Medicaid revenue, indicating that Medicaid is the sole recorded public payer driving its measurable revenue. This concentration means payer-level analyses should treat Medicaid trends as the primary commercial signal for this provider’s performance and exposure.

    Medicaid revenue is almost entirely concentrated in a single service line: H0040 (Assertive community treatment program, per diem) accounts for $4.3M and is reported as 100.0% of this provider's total Medicaid revenue, per the precomputed top-3 share. Such extreme concentration implies the organization operates principally as an assertive community treatment program rather than a diversified outpatient or fee-for-service counseling practice.

    Operational metrics for the dominant code show scale and unit economics: the H0040 activity comprises 4.4K claims with a $969 avg paid/claim, producing the $4.3M Medicaid total. Those per-diem claim volumes and average payment level suggest a programmatic, recurring revenue stream tied to sustained patient engagement rather than episodic office visits.

    Competitive standing within Nebraska is modest: the provider "ranks #3 of 4 providers in-state (33th percentile; typical, unremarkable volume for this code)." Being third of four statewide peers signals it is not a dominant state player on H0040 but is an active, mid-tier participant in the assertive community treatment market.

    The provider’s revenue concentration creates operational and reimbursement risk: because H0040 drives 100.0% of Medicaid revenue, any changes to per-diem rates, program eligibility, or Medicaid policy for assertive community treatment could materially affect its topline. Analysts should flag dependency on a single code when assessing financial resilience and contract negotiation leverage.

    Tenure on file is long-standing: the NPI was enumerated on 2006-12-29 (~20 years ago), indicating two decades of enrollment that could reflect sustained presence or program continuity in the market. This longevity may support established referral relationships and institutional knowledge pertinent to long-running community-based substance use disorder services.

    From a service-line perspective, the coding mix (sole reliance on H0040) suggests CENTERPOINTE operates as a program-level provider delivering per-diem community treatment rather than a clinician-billed counseling practice. For network and capacity planning, this profile implies resource needs and utilization patterns aligned with day-rate program delivery (staffing, outreach, and community-based supports) rather than sporadic outpatient visits.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0040Assertive community treatment program, per diem4,390$970$4.3M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0040Assertive community treatment program, per diem3104,640$120$4.2M

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centerpointe, Inc.NESubstance Abuse Rehabilitation Facility$0$5.1M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.7M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.4M
    Centerpointe, Inc.NEMental Health Clinic/Center (Including Community Mental Health Center)$0$3.7M
    Centerpointe, Inc.NEMental Illness Community Based Residential Treatment Facility$0$2.1M
    Centerpointe, IncNECase Management Agency$0$1.7M
    Rhonda WoodsideORAdult Health Nurse Practitioner$19.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bluestem HealthNEFederally Qualified Health Center (FQHC)$0$12.6M
    Tr Hepburn IncNEAssisted Living Facility (Mental Illness)$0$3.7M
    Heartland Optical Inc.NEOptometrist$0$3.5M
    Lincoln Endoscopy Center, LLCNEAmbulatory Surgical Clinic/Center$1.7M$612.5K
    Renal Treatment Centers-illinois Inc.NEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$970.8K
    Gastroenterology Specialties, P.C.NESpecialist$0$960.3K
    Youniq Health LLCNEPsychiatric/Mental Health Nurse Practitioner$0$804.4K
    Gregory UtechtNEDentist$0$527.9K
    Nebraska Specialty Network, LLCNECardiovascular Disease Physician$0$361.2K
    Mark GriffinNESpecialist$343K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nebraska Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Centerpointe, Inc. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska