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.

Box Butte General Hospital (NPI 1164691531)

Field	Value
Entity Type	Organization
Organization	Box Butte General Hospital
Address	2091 Box Butte Ave
City	Alliance
State	NE
ZIP	69301
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	February 29, 2008

Payer Source	Total Paid
Medicaid	$900.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	5,660	$100	$549.1K
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…	2,340	$150	$340.9K
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…	30	$100	$3.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	60	$60	$3.2K
99204	The provider sees a new 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 provider…	10	$200	$2.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	30	$50	$1.3K

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

Box Butte General Hospital — 0 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. Nebraska median

6 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…	117	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…	151	600	610	$70	$251.4K
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…	133	190	130	$70	$48.5K
99204	The provider sees a new 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 provider…	115	130	130	$90	$43.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	172	250	140	$60	$29.7K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	24	30	70	$10	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Box Butte General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Box Butte General Hospital	NE	Critical Access Hospital	$0	$3.4M
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Edward Stevenson	CO	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$343.5K	$0
Shanon Smith	NE	Diagnostic Radiology Physician	$275.5K	$0
Jed Hollingsworth	NE	Diagnostic Radiology Physician	$257.2K	$8.1K
Imanual Somers-dehaney	PA	Diagnostic Radiology Physician	$237.3K	$0
John Blomstedt	NE	Dermatology Physician	$221.2K	$0
Ryan Martin	NE	Pulmonary Disease Physician	$192.3K	$0
Douglas Fiedler	NE	Pulmonary Disease Physician	$190.5K	$0
William Johnson	NE	Pulmonary Disease Physician	$170.8K	$0

Nearby Providers

Other providers in the same ZIP code as Box Butte General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Children's & Allied Health, Inc.	NE	Pediatric Nurse Practitioner	$0	$884.3K
Christine Karell	NE	Psychiatric/Mental Health Nurse Practitioner	$36.1K	$601.4K
Alliance Family Dental, LLC	NE	Dentist	$0	$558.7K
Creston M. Myers, Od, PC	NE	Optometrist	$0	$460.4K
William Fattig	NE	Internal Medicine Physician	$138.3K	$84.9K
Silver Lining Counseling LLC	NE	Addiction (Substance Use Disorder) Counselor	$0	$192.8K
Alliance Community Pharmacy	NE	Community/Retail Pharmacy	$45.8K	$0
Todd Eitemiller	NE	Chiropractor	$21.6K	$0
Bette Odell	NE	Mental Health Counselor	$12.7K	$0

Box Butte General Hospital — Billing Profile & Reimbursement Data

Sign up for Box Butte General Hospital — Billing Profile & Reimbursement Data policy alerts

Box Butte General Hospital — Billing Profile & Reimbursement Data

Sign up for Box Butte General Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References