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.

Alegent Health Bergan Mercy Health System (NPI 1184897647)

Alegent Health Bergan Mercy Health System is a psychiatry physician provider located in Omaha, Nebraska. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Alegent Health Bergan Mercy Health System
Address	415 S 25th St
City	Omaha
State	NE
ZIP	68131
Taxonomy	Psychiatry Physician
NPI Enumerated	April 7, 2008

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	29,830	$40	$1.1M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	13,190	$60	$725.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,910	$240	$466.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,010	$50	$350.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,490	$90	$317.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,790	$50	$312.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	3,250	$20	$74.7K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	610	$50	$29.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	740	$30	$25.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$70	$890

Showing 1–10 of 11

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

Alegent Health Bergan Mercy Health System — 2 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5	30	630	$50	$250.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4	50	670	$30	$186.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	2	60	390	$50	$121.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	7	90	70	$200	$120.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	30	150	$90	$101.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	20	270	$60	$67K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	4	20	370	$20	$36K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	40	380	$60	$29.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	25	30	80	$70	$24.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2	20	40	$40	$6.8K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Bergan Mercy Health System	NE	General Acute Care Hospital	$0	$45.8M
Unmc Physicians	NE	Multi-Specialty Clinic/Center	$0	$41.1M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$4.3M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Lisa Chaiken	CA	Radiation Oncology Physician	$1.6M	$0
Thomas Pugh	CO	Radiation Oncology Physician	$914.7K	$0
Haysam Akkad	NE	Interventional Cardiology Physician	$817.6K	$0
Ariyan Javadi	WI	Diagnostic Radiology Physician	$58.4K	$543.8K
Kelsey Mitchell	NE	Physician Assistant	$583.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Father Flanagan's Boys' Home	NE	Pediatrics Physician	$0	$23.1M
Father Flanagan's Boys' Home	NE	Children's Hospital	$0	$16.2M
Emergency Physician Associates Of Nebraska PC	NE	Emergency Medicine Physician	$0	$4.9M
Dialysis Clinic Inc.	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
Midwest Eye Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.8M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Pamela Helem	NE	Mental Health Counselor	$0	$680.9K
Michael Feilmeier	NE	Ophthalmology Physician	$617.6K	$0

Alegent Health Bergan Mercy Health System — Billing Profile & Reimbursement Data

Sign up for Alegent Health Bergan Mercy Health System — Billing Profile & Reimbursement Data policy alerts

Alegent Health Bergan Mercy Health System — Billing Profile & Reimbursement Data

Sign up for Alegent Health Bergan Mercy Health System — 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