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NPI 1184642894 · Beatrice, NE · Critical Access Hospital
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Beatrice Community Hospital & Health Center Inc is a critical access hospital provider located in Beatrice, Nebraska. This profile covers 0 Medicare and 166 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Beatrice Community Hospital & Health Center Inc |
| Address | 4800 Hospital Parkway |
| City | Beatrice |
| State | NE |
| ZIP | 68310 |
| Taxonomy | Critical Access Hospital |
| NPI Enumerated | July 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.4M |
| Medicare | $0 |
This entity has no Medicare billing on file and reports $10.4M in lifetime Medicaid revenue, making it effectively single‑payer dependent on Medicaid for reported federal program receipts. The absence of Medicare activity combined with material Medicaid receipts suggests payer concentration risk if Medicaid reimbursement policies or enrollment patterns change in the service area.
Revenue is highly concentrated in a small set of outpatient/ED and imaging codes: the top three Medicaid codes — 99283 ($1.8M), 74177 ($550.1K), and 99284 ($509.1K) — account for 38.7% of the provider's total Medicaid revenue. That concentration indicates a relatively narrow group of services that drive a disproportionate share of Medicaid dollars for this provider.
The code mix points to an emergency‑department–centric operation: high volumes and revenue for 99283 ($1.8M), 99284 ($509.1K), 99282 ($214.9K) and 99285 ($157.2K) show ED evaluation and management visits are a primary service line. These E/M codes, together with frequent lab and imaging utilization, are consistent with an acute care Critical Access Hospital model providing front‑line emergency services.
Diagnostic imaging and laboratory services are major contributors to Medicaid revenue, with notable lines including 80053 ($457.4K), 85025 ($413.8K), 70450 ($350.6K), 74177 ($550.1K), and 36415 ($183.6K). High paid‑per‑claim values for CT imaging (74177 at $1,355 avg paid/claim and 70450 at $503 avg paid/claim) indicate that advanced imaging is an important revenue stream alongside high test volumes for common panels and specimen draws.
Competitive standing across in‑state peers is mixed: several high‑volume lab and routine outpatient codes rank well above many peers (for example, 99212 ranks #13 of 254 providers in‑state at the 95th percentile and 87631 ranks #3 of 27 at the 92nd percentile, both described as notably above typical state volumes), while major ED and imaging codes such as 99283 (86th percentile), 99284 (72th percentile), and 74177 (41th percentile) are characterized as typical, unremarkable volumes relative to in‑state peers. Overall, the provider is a modest-to-typical participant statewide with specific pockets of above‑typical lab and office visit activity.
Operational profile reflects outpatient clinic and infusion activity in addition to ED work: G0463 (hospital outpatient clinic visit) generated $136.7K and infusion/administration codes 96365, 96374, and 96375 together contribute meaningful revenue ($188.2K, $132.6K, and $136.2K respectively), indicating scheduled outpatient treatments and procedure throughput beyond episodic emergency care. Physical therapy code 97110 ($245.8K) further supports the presence of ambulatory rehabilitation services as a complementary revenue line.
The provider’s taxonomy as a Critical Access Hospital combined with an NPI enumeration date of 2006-07-18 (~20 years ago) indicates an established, small hospital footprint consistent with sustained local service provision. Longevity in the NPI file supports that these patterns are likely reflective of an ongoing operational model rather than a short‑term reporting artifact.
Given the concentrated Medicaid revenue base ($10.4M total) and the top three codes’ outsized share (38.7%), the provider’s financial performance is sensitive to service‑line volume shifts in ED visits and advanced imaging. Strategic or policy changes that affect ED utilization, imaging authorization, or Medicaid lab/diagnostic reimbursement could disproportionately impact reported revenues.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
166 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 11,770 | $150 | $1.8M |
| 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. | 410 | $1,360 | $550.1K |
| 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. | 3,560 | $140 | $509.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 12,040 | $40 | $457.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 14,780 | $30 | $413.8K |
| 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. | 700 | $500 | $350.6K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 3,040 | $100 | $295.1K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 5,590 | $40 | $245.8K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 2,350 | $100 | $228.1K |
| 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. | 2,050 | $110 | $214.9K |
Showing 1–10 of 166
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
166 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. | 32 | 110 | 770 | $110 | $774.3K |
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 10 | 40 | 820 | $260 | $734.1K |
| 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. | 21 | 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. | 34 | 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. | 30 | 50 | 820 | $160 | $461.3K |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 34 | 40 | 2,880 | $40 | $386.7K |
| 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… | 28 | 40 | 350 | $170 | $366.6K |
| 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… | 469 | 700 | 660 | $70 | $305.1K |
| G0378 | Hospital observation service, per hour | 21 | 30 | 950 | $120 | $276.4K |
| 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. | 29 | 50 | 830 | $90 | $269K |
Showing 1–10 of 166
Other providers in the same ZIP code as Beatrice Community Hospital & Health Center Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Blue Valley Behavioral Health Inc | NE | Community/Behavioral Health Agency | $0 | $14.7M |
| City Of Beatrice | NE | Ambulance | $332.9K | $491.1K |
| Beatrice Family Chiropractic, PC | NE | Chiropractor | $0 | $284.3K |
| Gleason Family Dental Clinic, P.C. | NE | General Practice Dentistry | $0 | $245.8K |
| Ryan Wade | NE | Physical Therapist | $177K | $0 |
| Deines Pharmacy, LLC | NE | Community/Retail Pharmacy | $111.8K | $27.4K |
| Clabaugh Pharmacy Inc | NE | Community/Retail Pharmacy | $109.8K | $40 |
| Steven Sandman | NE | Optometrist | $78.9K | $0 |
| Brett Studley | NE | Emergency Medicine Physician | $51.1K | $0 |
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