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.

Emergency Clinicians Associates, LLC (NPI 1265498661)

Field	Value
Entity Type	Organization
Organization	Emergency Clinicians Associates, LLC
Address	6901 N 72nd St
City	Omaha
State	NE
ZIP	68122
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Key Findings

EMERGENCY CLINICIANS ASSOCIATES, LLC is registered as an Emergency Medical Services (Emergency Medicine) Physician in OMAHA, NE and its NPI was enumerated on 2006-04-25 (~20 years ago), indicating long-standing enrollment and likely sustained local operations in emergency department care. The taxonomy and tenure are consistent with a practice focused on ED evaluation and management rather than longitudinal primary care.

This provider has no Medicare billing on file and all reported federal payments come from Medicaid, with total Medicaid revenue of $6.5M; in practical terms the entity functions as effectively single-payer (Medicaid) in the available claims data. The absence of Medicare activity means any Medicare-market positioning or national competitive comparisons cannot be assessed from these records.

Revenue is highly concentrated in three emergency department E/M codes: 99285 accounts for 46.5% of Medicaid revenue, 99284 accounts for 37.1%, and 99283 accounts for 16.2%, and these top three codes together account for 99.8% of the provider’s total Medicaid revenue. This concentration signals that virtually all billing and reimbursement is driven by ED visit E/M services rather than ancillary procedures or other ambulatory care codes.

Operationally, the code mix (dominance of 99285, 99284, and 99283) indicates the practice primarily delivers emergency department evaluation and management across a spectrum of acuity: 99285 represents high medical decision making, 99284 moderate, and 99283 low. High claim volumes for these codes — 29.2K claims for 99285, 31.2K claims for 99284, and 18.4K claims for 99283 — together describe a high-throughput ED operation where visit-level E/M encounters are the core service line.

On competitive standing within the state, the provider is a leading filer for high-acuity ED visits: 99285 revenue ranks #3 of 78 providers in-state (97th percentile) and is described as notably above typical state volume. For moderate-acuity ED visits 99284 ranks #7 of 112 providers (95th percentile) and is also described as notably above typical state volume, indicating this provider is a major participant in the state for moderate- to high-acuity ED care. By contrast, 99283 ranks #11 of 139 providers (93th percentile) and is labeled as typical, unremarkable volume, so lower-acuity ED billing is less distinguishing versus peers.

Critical care billing (99291) is present but minimal: 156 claims generating $13.1K revenue (0.2% of Medicaid revenue) with an in-state rank of #9 of 15 providers (43th percentile) and characterized as typical, unremarkable. This pattern suggests limited use of billable critical care services relative to the provider’s overall ED workload and that most compensated activity is standard ED E/M rather than documented critical care time.

Payment characteristics reflect low per-claim Medicaid reimbursements typical of the payer: average paid/claim figures for the top codes are $103 for 99285, $77 for 99284, and $57 for 99283, underscoring that high volume rather than high unit pricing drives total revenue. The presence of multiple reporting/quality codes with $0 revenue (for example G8427, G9744, and 99053) shows submission of non-reimbursed administrative or measure-related codes alongside the core paid E/M claims.

Given the combination of a two-decade enrollment, concentrated Medicaid revenue of $6.5M, and extremely high volume in paid ED E/M codes (top three codes alone = 99.8% of Medicaid revenue), the provider’s business profile is that of an established, Medicaid-focused ED service line with market-leading statewide positioning for high-acuity emergency visits but limited diversification into other billable service lines or Medicare payer mix. This profile has implications for contracting and network strategy: payers should expect predictable ED E/M volume but little Medicare exposure and limited ancillary revenue streams.

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
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.	29,240	$100	$3M
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.	31,240	$80	$2.4M
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.	18,370	$60	$1M
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…	160	$80	$13.1K
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.	30	$40	$1.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	290	$1	$870
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	90	$10	$430
99053	The provider renders overnight services at a 24 hour facility.	30	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	400	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	160	$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

Emergency Clinicians Associates, LLC — 1 of 7 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
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.	7	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.	11	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.	3	80	300	$120	$519.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	23	30	1,720	$10	$158.7K
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.	81	90	600	$90	$156.8K
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…	9	20	230	$110	$58K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2	10	5,660	$10	$38.2K
99053	The provider renders overnight services at a 24 hour facility.	5	10	90	$1	$130
G9744	Patient not eligible due to active diagnosis of hypertension	3	10	190	$1	$20
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	17	30	350	$1	$1

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Clinicians Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brent Bunz	NE	Emergency Medicine Physician	$71.8K	$0
Patrick Mulherin	SC	Emergency Medicine Physician	$60.7K	$0
Joshua Miller	NE	Emergency Medicine Physician	$43.1K	$0
Juanita Alvarez-hall	IA	Family Nurse Practitioner	$37.1K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Clinicians Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Immanuel Medical Center	NE	General Acute Care Hospital	$0	$23.7M
Alegent Creighton Health	NE	Internal Medicine Physician	$0	$17.5M
Samer Renno	NE	Hematology & Oncology Physician	$3.2M	$0
Inaganti Shah	NE	Hematology & Oncology Physician	$2M	$0
Alegent Health Immanuel Medical Center	NE	Psychiatric Hospital Unit	$0	$847.8K
Matthew Brumm	NE	Ophthalmology Physician	$593.3K	$0
Hematology & Oncology Consultants, PC	NE	Hematology & Oncology Physician	$0	$578.6K
Abraham Mathews	NE	Hematology & Oncology Physician	$369.1K	$0
Bruce H Brumm Md PC	NE	Ophthalmology Physician	$0	$362.6K
Bruce Baron	NE	Diagnostic Radiology Physician	$282.4K	$0

Emergency Clinicians Associates, LLC — Billing Profile & Reimbursement Data

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Emergency Clinicians Associates, 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