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.

Bluestem Health (NPI 1184194557)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bluestem Health
Address	3100 N 14th St
City	Lincoln
State	NE
ZIP	68521
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 28, 2018

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

BLUESTEM HEALTH reports $6.8M in lifetime Medicaid revenue and has no Medicare billing on file; the record therefore reflects an effectively single‑payer (Medicaid‑focused) billing profile rather than a dual Medicare/Medicaid practice mix. Its NPI was enumerated 2018-11-28 (~8 years ago), indicating several years of active participation in Medicaid programs.

Revenue is highly concentrated in a small set of evaluation-and-management codes: the top 3 Medicaid codes by revenue account for 89.9% of the provider’s total Medicaid revenue, with 99213 alone representing $5.1M (75.7% of Medicaid revenue). This level of concentration means changes in office‑visit volume, reimbursement, or policy for those codes would materially affect the provider’s financial performance.

The code mix — dominated by 99213 and 99214 along with preventive medicine codes such as 99392, 99391, 99393, 99394, and 99395 — is consistent with a primary care, comprehensive FQHC operation that emphasizes established patient management and routine preventive services across pediatric and adult populations. Additional procedure codes for vision screening (99177, 99173), hearing checks (92551), vaccines (90686, 90723, 90633, 90707), and topical fluoride (99188) support an integrated primary care model that bundles preventive, pediatric, and basic oral/vision/hearing services typical of Federally Qualified Health Centers.

Competitive standing by code is mixed: for the largest revenue driver 99213 the provider ranks #16 of 696 providers in‑state (98th percentile) but is characterized in the file as having "typical, unremarkable volume for this code," indicating strong absolute revenue for that code but not an unusual billing pattern relative to peers. For 99214 the provider ranks #85 of 596 (86th percentile) and likewise shows "typical, unremarkable volume," while preventive code 99392 ranks #22 of 67 (68th percentile) and also displays a "typical, unremarkable volume" standing; these positions suggest the provider is a meaningful but not outlier competitor statewide for its core E/M and preventive services.

Operational signals specific to the FQHC taxonomy are present but modest in revenue: the FQHC per‑encounter code G0467 appears with 1.3K claims and $38.5K revenue (0.6% of Medicaid revenue) and ranks #7 of 17 providers in‑state (63th percentile; typical, unremarkable volume for this code). That combination suggests BLUESTEM delivers FQHC‑style bundled services but relies primarily on standard office E/M billing (99213/99214) for the bulk of reimbursement rather than FQHC encounter payments.

Service breadth includes pediatric-focused preventive care and school‑age services: codes for well visits across age groups (99391–99396 series) and school‑age specific codes such as 99393 ($111.2K, 1.6%) and vision/hearing screening codes (99177, 99173; combined several thousand claims) point to a notable pediatric and preventive workload consistent with community health center operations. These codes cumulatively support the picture of an FQHC that serves families and children in addition to adult primary care.

Low utilization of telehealth/virtual visit codes is evident: G0071 appears with 20 claims and $1.5K revenue (0.0% of Medicaid revenue) and is ranked #7 of 8 providers in‑state (14th percentile; typical, unremarkable volume for this code). This suggests telehealth or remote-evaluation services are not a major revenue source for BLUESTEM in the observed Medicaid data window.

Ancillary screening and minor dental-preventive services contribute modestly to revenue: hearing test 92551 ($34.9K, 0.5%) and topical fluoride 99188 ($15.2K, 0.2%) demonstrate that the organization provides on-site basic sensory screening and preventive dental interventions, reinforcing the FQHC pattern of co-located, multidisciplinary primary care services beyond core E/M visits. These ancillary services are present but do not materially diversify the revenue base given the heavy concentration in 99213 and 99214.

Medicaid: Complete Services Breakdown

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

32 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…	29,210	$180	$5.1M
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…	4,690	$170	$806.3K
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…	760	$210	$157K
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…	740	$210	$153.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	580	$190	$111.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	290	$190	$55.1K
99177	The provider uses instruments to conduct a vision screening exam to analyze both eyes to diagnose ocular or eye–related diseases. Both the screening and analysis take place on–site.	610	$80	$48.3K
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…	220	$200	$42.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,280	$30	$38.5K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	600	$60	$34.9K

Showing 1–10 of 32

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

Bluestem Health — 1 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	22	40	1,930	$230	$2.3M
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…	16	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…	85	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…	28	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…	22	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.	17	70	100	$100	$100.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	44	90	100	$80	$54.7K
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…	77	190	130	$70	$48.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	7	20	1,000	$30	$44.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	19	110	70	$100	$43.2K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Lincoln, Nebraska	NE	Land Ambulance	$2.2M	$8.2M
Nebraska Urban Indian Health Coalition, Inc.	NE	Primary Care Clinic/Center	$0	$2M
Above And Beyond Aba Ne, LLC	NE	Behavior Analyst	$0	$714.5K
North Lincoln Family Medical Center PC	NE	Family Medicine Physician	$0	$663.1K
Innovative Community Health Institute LLC	NE	Family Medicine Physician	$0	$503.6K
Husker Rehabilitation And Wellness Centers, P.C.	NE	Physical Therapist	$0	$446.7K
Huy Pham	NE	Optometrist	$2.6K	$393.8K
Fallbrook Family Health Center	NE	Family Medicine Physician	$0	$273.8K
Intentions Psychotherapy PC	NE	Mental Health Counselor	$0	$273.5K
Bradlee N Novotny, D.c., P.C.	NE	Physical Medicine & Rehabilitation Physician	$0	$247.3K

Bluestem Health — Billing Profile & Reimbursement Data

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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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$12.6M
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$3.6M
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$1.3M