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.

County Of Lancaster (NPI 1215959804)

Field	Value
Entity Type	Organization
Organization	County Of Lancaster
Address	825 J St
City	Lincoln
State	NE
ZIP	68508
Taxonomy	Psychiatry Physician
NPI Enumerated	July 24, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Key Findings

COUNTY OF LANCASTER (LINCOLN, NE) has no Medicare billing on file and reports $4.4M in lifetime Medicaid revenue, indicating that Medicaid is the only payer generating recorded federal-program revenue for this NPI. This single-payer footprint should be treated as the dominant source of claims and payment activity for analysts assessing this entity’s federal-program billing patterns.

The provider is effectively a single-payer Medicaid operation from the available data: there is no Medicare revenue on file while Medicaid revenue totals $4.4M. This concentration means payer-mix analysis and risk exposure are driven entirely by Medicaid policy, reimbursement, and utilization trends.

Revenue is extremely concentrated in a single service line: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and S9485 alone represents 100.0% of that $4.4M total. Analysts should treat S9485 as the sole material Medicaid revenue driver when modeling future revenues or forecasting sensitivity to rate changes for that code.

The code mix (S9485 — Crisis intervention mental health services, per diem) points to an operational focus on crisis intervention or short-term crisis-stabilization services billed on a per-diem basis. This suggests the provider’s Medicaid business is organized around behavioral-health crisis care rather than routine outpatient evaluation-and-management visits or long-term rehabilitative services.

Claim-level metrics show 11.6K claims for S9485 with a $378 avg paid/claim and $4.4M in revenue, indicating high claim volume paired with a modest per-claim payment; this pattern is consistent with frequent per-diem billing episodes under the crisis-intervention code. For utilization analysis, the high claim count should be examined alongside service-day definitions and eligibility windows inherent to S9485 billing.

Competitively, COUNTY OF LANCASTER ranks #1 of 2 providers in-state for S9485 and sits at the 100th percentile for that code, but the supplied characterization describes the volume as "typical, unremarkable" for S9485. In practice this means the entity is the largest of only two in-state reporters for this code but does not exhibit an unusual intensity or statistical outlier profile relative to expected operations for crisis-intervention per-diem services.

The NPI was enumerated on 2006-07-24 (~20 years ago), reflecting long tenure in the Medicare/Medicaid enrollment system; combined with the narrow code mix concentrated on S9485, the data suggest an established, stable billing pattern focused on Medicaid-funded crisis-intervention services rather than a recently shifted or expanding service portfolio.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9485	Crisis intervention mental health services, per diem	11,620	$380	$4.4M

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

County Of Lancaster — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9485	Crisis intervention mental health services, per diem	1	10	6,080	$380	$2.3M

Nearby Providers

Other providers in the same ZIP code as County Of Lancaster, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Houses Of Hope Of Ne Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.2M
The Bridge Behavioral Health, Inc.	NE	Mental Illness Community Based Residential Treatment Facility	$0	$3.3M
Bright Smile Dental	NE	Dentist	$0	$3.2M
Turningpoint Psychotherapy, P.C.	NE	Mental Health Counselor	$0	$434.6K
Bloom Counseling	NE	Mental Health Counselor	$0	$418.5K
Parallels, Inc	NE	Cognitive & Behavioral Psychologist	$0	$299.1K
A & E Eyecare Inc	NE	Optometrist	$0	$249K

County Of Lancaster — Billing Profile & Reimbursement Data

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County Of Lancaster — 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

Nearby Providers

Frequently Asked Questions

References