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.

Innovative Pain & Spine Specialists (NPI 1245692581)

Field	Value
Entity Type	Organization
Organization	Innovative Pain & Spine Specialists
Address	7121 Stephanie Ln Ste 102
City	Lincoln
State	NE
ZIP	68516
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	March 25, 2016

Payer Source	Total Paid
Medicaid	$298.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,100	$40	$204K
99204	The provider sees a new 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 provider…	750	$70	$54.2K
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…	800	$20	$18.4K
96146	The patient is administered a single, standardized psychological or neuropsychological test using an electronic platform such as a computer, which scores the test on completion.	500	$20	$8K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	210	$30	$5.7K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	70	$80	$5.6K
96103	N/A	160	$10	$1.8K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	520	$1	$520
J1040	Injection, methylprednisolone acetate, 80 mg	10	$10	$140
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,540	$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

Innovative Pain & Spine Specialists — 1 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	333	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…	75	600	610	$70	$251.4K
99204	The provider sees a new 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 provider…	22	130	130	$90	$43.8K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	7	20	100	$30	$18.2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	23	50	320	$10	$8.3K
96146	The patient is administered a single, standardized psychological or neuropsychological test using an electronic platform such as a computer, which scores the test on completion.	1	10	500	$20	$8.1K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	1	10	50	$80	$3.8K
96103	N/A	1	10	160	$10	$1.7K
J1040	Injection, methylprednisolone acetate, 80 mg	12	10	30	$10	$1.1K
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1	10	40	$1	$180

Related Providers

Other providers that share a Tax Identification Number (TIN) with Innovative Pain & Spine Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelly Zach	NE	Interventional Pain Medicine Physician	$434.1K	$0
Phillip Essay	NE	Pain Medicine (Anesthesiology) Physician	$277K	$0
Clayton Damme	NE	Interventional Pain Medicine Physician	$185.2K	$0
Emma Edwards	NE	Medical Physician Assistant	$63.8K	$0

Nearby Providers

Other providers in the same ZIP code as Innovative Pain & Spine Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melvin Churchill	NE	Rheumatology Physician	$4.8M	$0
Lincoln Radiology Group PC	NE	Diagnostic Radiology Physician	$0	$4.5M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$4.2M
Rick Chatwell	NE	Rheumatology Physician	$3.5M	$0
Lincoln Pediatric Group LLC	NE	Pediatrics Physician	$0	$2.3M
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Nebraska House Call Physicians, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Urology Surgical Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.4M	$190.5K
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0

Innovative Pain & Spine Specialists — Billing Profile & Reimbursement Data

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Innovative Pain & Spine Specialists — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References