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.

Faith Regional Physician Services, LLC (NPI 1265489157)

Key Findings

Field	Value
Entity Type	Organization
Organization	Faith Regional Physician Services, LLC
Address	110 N 29th St
City	Norfolk
State	NE
ZIP	68701
Taxonomy	Family Medicine Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

This entity appears effectively single‑payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $5.5M, so all reported fee‑for‑service activity in the dataset is driven by Medicaid. The absence of Medicare claims suggests analyses of Medicare exposure, reimbursement differentials, or dual‑eligibility mixes are not possible from these files and the provider’s revenue profile should be treated as Medicaid‑centric.

Revenue concentration is high: the top three Medicaid codes (99213, 99214, 99284) together account for 51.7% of the provider’s total Medicaid revenue, indicating a heavy dependence on office/ED evaluation and management visits. In particular, 99213 alone generates $1.4M (27.1% of Medicaid revenue), making routine established‑patient E/M care the single largest revenue driver.

The code mix indicates a broad, multi‑setting clinical operation rather than a narrow ambulatory clinic. High volumes and revenue in primary E/M codes (99213, 99214) coexist with emergency department E/M (99284, 99283, 99282), inpatient E/M (99232, 99223, 99233), and a substantial package of GI endoscopy codes (43251, 45385, 43249, 43239), which together suggest the provider bills across outpatient clinic, ED, inpatient, and procedural endoscopy services. This mix is consistent with a practice that delivers both primary care and procedurally oriented services within the same billing entity.

Competitive standing by code shows strong state presence on core E/M volumes: 99213 ranks #14 of 696 providers in‑state (98th percentile) and 99214 ranks #23 of 596 (96th percentile), indicating this provider is a high‑volume Medicaid deliverer for routine and moderate complexity office visits relative to peers. Behavioral health add‑on psychotherapy (90833) and other psych codes (90837, 90834) also register meaningfully ($463.3K for 90833, 8.8% of Medicaid revenue) and rank in the upper percentiles, signaling above‑average integration of mental health services into the practice.

Several procedure codes mark the provider as a notable procedural resource in the state. Codes such as 43251 ($176.9K) and 43249 ($80.1K) rank #1 of 3 providers in‑state (100th percentile) while 43239 ($62.8K) ranks #4 of 29 (89th percentile) and 45380 ($48.6K) ranks #2 of 17 (94th percentile), with the latter two explicitly characterized as "notably above typical state volume." These placements indicate the provider is an important statewide supplier for select endoscopic services.

There are niche offerings for which this provider is the sole reporter in the state dataset: 45398 ($38.8K) and 43259 ($36.9K) each rank #1 of 1 providers in‑state with no state peer volume comparison available. Those single‑provider entries suggest unique procedural capabilities on file in the dataset and potential competitive differentiation for specific endoscopic interventions.

Operational risk from payer concentration should be noted: with no recorded Medicare revenue and $5.5M entirely from Medicaid, the practice’s reimbursement exposure is concentrated in a single public payer. Any Medicaid policy, rate, or eligibility changes could therefore disproportionately affect the provider’s topline compared with a more balanced Medicare/Medicaid mix.

Tenure in the dataset is long: the NPI was enumerated on 2006-05-27 (~20 years ago), so the entity has an extended claims history in state data. That longevity, combined with high percentile rankings on core E/M codes and several procedure codes, supports interpreting the observed patterns as established operational behavior rather than a short‑term anomaly.

Medicaid: Complete Services Breakdown

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

87 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…	31,020	$50	$1.4M
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…	16,190	$50	$809.4K
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.	6,830	$70	$485K
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…	8,740	$50	$463.3K
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.	7,200	$60	$439K
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…	11,350	$40	$419.9K
43251	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…	1,190	$150	$176.9K
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…	1,400	$100	$132.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6,230	$20	$93.4K
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…	1,720	$50	$87.6K

Showing 1–10 of 87

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

Faith Regional Physician Services, LLC — 4 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

87 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.	27	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.	31	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.	65	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	33	50	820	$160	$461.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	23	40	350	$170	$366.6K
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…	14	700	660	$70	$305.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	32	50	830	$90	$269K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4	30	280	$450	$266.7K
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…	23	600	610	$70	$251.4K
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…	14	30	630	$50	$250.1K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Faith Regional Health Services	NE	General Acute Care Hospital	$0	$7.3M
Faith Regional Health Services	NE	Home Health Agency	$0	$698.4K
Fadi Rzouq	NE	Gastroenterology Physician	$370.1K	$0
Andrew Baldwin	NE	Ophthalmology Physician	$322K	$0
Hakam Asaad	TX	Neuromuscular Medicine (Psychiatry & Neurology) Physician	$284.8K	$0
Daniel Ferraro	IL	Radiation Oncology Physician	$247.2K	$0
John Lammli	NE	Orthopaedic Surgery Physician	$204.7K	$0
Sabu George	FL	Specialist	$185.5K	$0
William Johnson	NE	Pulmonary Disease Physician	$170.8K	$0
Gregory Peters	NE	Diagnostic Radiology Physician	$167.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midtown Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$10.1M
Behavioral Health Specialists Sunrise Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.6M
Children & Adoleseant Clinic PC	NE	Pediatrics Physician	$0	$4.3M
The Well Ne	NE	Substance Abuse Rehabilitation Facility	$0	$3.1M
Nmg LLC	NE	Family Medicine Physician	$0	$2.9M
Cor Therapeutic Services, LLC	NE	Mental Health Counselor	$0	$2.2M
Rabih Fahed	NE	Hematology & Oncology Physician	$2M	$0
Oasis Counseling International	NE	Mental Health Counselor	$0	$2M
Liberty Centre Services, Inc.	NE	Case Manager/Care Coordinator	$0	$1.6M
Behavioral Health Specialists Inc	NE	Community/Behavioral Health Agency	$0	$1.3M

Faith Regional Physician Services, LLC — Billing Profile & Reimbursement Data

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Faith Regional Physician Services, 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