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.

Epn Of Nebraska LLC (NPI 1205382264)

Field	Value
Entity Type	Organization
Organization	Epn Of Nebraska LLC
Address	7500 Mercy Rd
City	Omaha
State	NE
ZIP	68124
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 30, 2016

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $5.6M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in scale. The absence of Medicare activity is a material feature of the payer mix and should be treated as a primary constraint when comparing this entity to multi-payer competitors or assessing Medicare-facing contract opportunities.

Revenue is highly concentrated in three emergency department E/M codes: 99285 accounts for $2.7M (47.1%), 99284 accounts for $1.7M (29.8%), and 99283 accounts for $1.3M (22.6%), with the top three codes collectively representing 99.5% of the provider's Medicaid revenue. This concentration indicates that nearly all Medicaid revenue is driven by ED evaluation-and-management encounters rather than a broad set of ancillary or outpatient services.

The code mix and paid-per-claim levels point to an emergency medicine operation biased toward higher-acuity ED care: 99285 carries a $100 avg paid/claim, 99284 $70 avg paid/claim, and 99283 $58 avg paid/claim. Given these rates and the dominance of E/M codes in revenue, the practice appears structured around sustained ED throughput and acute-care visits rather than elective or procedural service lines.

On competitive standing for high-acuity ED care, 99285 activity is regionally prominent: 26.6K claims generating $2.7M and the provider ranks #4 of 78 in-state at the 96th percentile, described as notably above typical state volume. This ranking signals a major presence for the highest-level ED E/M encounters among Nebraska Medicaid providers and suggests strong market share for high-acuity emergency services.

For mid- and low-acuity ED visits, the provider shows meaningful volume but mixed relative positioning: 99284 has 24.1K claims and $1.7M revenue (rank #11 of 112, 91th percentile, characterized as typical), whereas 99283 has 22K claims and $1.3M revenue (rank #9 of 139, 94th percentile, characterized as notably above typical). Together these placements indicate the provider maintains broad volume across acuity levels, with particularly strong standing at the lower-acuity end as well as at the highest-acuity end.

Critical care billing (99291) is present but limited: 228 claims produced $26.4K (0.5% of Medicaid revenue) and the provider ranks #8 of 15 in-state at the 50th percentile, labeled typical. The small share of 99291 revenue relative to ED E/M codes suggests the group’s clinical activity is concentrated in emergency department evaluation-and-management rather than sustained critical care or ICU-level management.

Operationally notable line items include 99053 (overnight facility services) with 11.8K claims but $0 reported revenue, where the provider ranks #1 of 5 in-state at the 100th percentile; and 71045 chest radiography with 166 claims and $332 revenue. The high-volume, zero-revenue pattern for 99053 likely reflects billing practices or payer arrangements where facility or coverage claims do not translate into Medicaid-paid revenue and should be considered when modeling margins or contract liabilities.

The provider’s NPI was enumerated on 2016-08-30 (~10 years ago), indicating an established presence in the Nebraska Medicaid market. Combined with sustained high ranking on key ED codes, the tenure supports the interpretation of a decade-long, focused emergency medicine operation that is a significant Medicaid-era participant in the state for ED services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	26,570	$100	$2.7M
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.	24,070	$70	$1.7M
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.	22,010	$60	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	230	$120	$26.4K
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.	50	$30	$1.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	170	$1	$330
99053	The provider renders overnight services at a 24 hour facility.	11,810	$0	$0

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

Epn Of Nebraska LLC — 1 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

7 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.	11	110	770	$110	$774.3K
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.	9	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.	4	80	300	$120	$519.5K
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.	79	90	600	$90	$156.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	53	80	390	$10	$75.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8	20	230	$110	$58K
99053	The provider renders overnight services at a 24 hour facility.	1	10	90	$1	$130

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epn Of Nebraska LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adrian Dreessen	IA	Emergency Medicine Physician	$82.7K	$0
Justin Adkins	OH	Emergency Medicine Physician	$82.4K	$0
Patrick Mulherin	SC	Emergency Medicine Physician	$60.7K	$0

Nearby Providers

Other providers in the same ZIP code as Epn Of Nebraska LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Bergan Mercy Health System	NE	General Acute Care Hospital	$0	$45.8M
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Childrens Home Healthcare	NE	Home Health Agency	$0	$40M
Maxim Healthcare Services, Inc.	NE	Home Health Agency	$0	$29.7M
Lutheran Family Services Of Ne, Inc	NE	Mental Health Counselor	$0	$5.8M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLC	NE	Pediatric Dentistry	$0	$2.5M
Osc LLC	NE	Ambulatory Surgical Clinic/Center	$1.3M	$799.9K
Shoptikal LLC	NE	Eyewear Supplier	$0	$1.9M
Yungpo Su	NE	Hematology & Oncology Physician	$1.9M	$0

Epn Of Nebraska LLC — Billing Profile & Reimbursement Data

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Epn Of Nebraska LLC — 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