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.

Pediatric Partners L.L.C. (NPI 1265432223)

Pediatric Partners L.L.C. is a family nurse practitioner provider located in Fremont, Nebraska. This profile covers 0 Medicare and 44 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	Pediatric Partners L.L.C.
Address	750 E. 29th St
City	Fremont
State	NE
ZIP	68025
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	22,140	$60	$1.4M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,360	$90	$466.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,470	$90	$315.8K
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…	2,440	$80	$199.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	4,000	$20	$64K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	650	$90	$59.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	550	$90	$51.5K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	2,890	$20	$46.3K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	2,600	$20	$41.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,120	$30	$36.9K

Showing 1–10 of 44

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

Pediatric Partners L.L.C. — 1 of 25 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

44 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…	19	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…	143	600	610	$70	$251.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	70	360	$80	$234.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	70	230	$90	$222.7K
0241U	N/A	19	40	210	$110	$109.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15	70	100	$100	$100.9K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	13	20	210	$40	$91.3K
99203	The provider sees a new 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 provider…	175	190	130	$70	$48.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	13	20	330	$20	$45.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	16	110	70	$100	$43.2K

Showing 1–10 of 44

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Fremont Health	NE	Rural Acute Care Hospital	$0	$7.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.2M
Methodist Fremont Health	NE	Internal Medicine Physician	$0	$2.7M
Fcd Smiles, PC	NE	Pediatric Dentistry	$0	$1.7M
Muhammad Haroon	NE	Hematology & Oncology Physician	$1.4M	$0
Albert Behavioral Health LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Fremont Children's Dentistry, LLC	NE	Pediatric Dentistry	$0	$1M
Midwest Anesthesia P.C.	NE	Interventional Pain Medicine Physician	$0	$959.9K
Hand In Hand Therapy LLC	NE	Mental Health Counselor	$0	$874.7K
Me Urgent Care Nebraska, Inc	NE	Urgent Care Clinic/Center	$0	$769.7K

Pediatric Partners L.L.C. — Billing Profile & Reimbursement Data

Sign up for Pediatric Partners L.L.C. — Billing Profile & Reimbursement Data policy alerts

Pediatric Partners L.L.C. — Billing Profile & Reimbursement Data

Sign up for Pediatric Partners L.L.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References