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.

Heartland Health Center, Inc. (NPI 1275954299)

Key Findings

Field	Value
Entity Type	Organization
Organization	Heartland Health Center, Inc.
Address	2116 W Faidley Ave Ste 2100
City	Grand Island
State	NE
ZIP	68803
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 17, 2013

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

No Medicare billing is on file for this NPI; the provider’s entire reported government-payer footprint is Medicaid, with total Medicaid revenue of $8.8M. This makes HEARTLAND HEALTH CENTER, INC. effectively a Medicaid-focused operation rather than a dual-payor practice for the datasets shown.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 94.0% of this provider’s total Medicaid revenue. Those top three are T1015 ($5.1M, 58.3% of Medicaid revenue), 99213 ($2.2M, 25.3%), and 99214 ($909.9K, 10.5%), indicating most dollars flow through bundled clinic encounters and established-patient evaluation-and-management visits.

The code mix is consistent with an FQHC primary-care model: dominant T1015 (18.4K claims, $275 avg paid/claim) plus heavy E/M volumes (99213: 10.9K claims, $201 avg; 99214: 4.7K claims, $194 avg) point to high-throughput outpatient clinic work focused on established patients and routine E/M visits. Lower-dollar but consistent activity in pediatric well visits (e.g., 99393 266 claims, $39.9K) and psychotherapy (90832 315 claims, $70.2K; 90834 436 claims, $29.2K) shows the center also provides preventive pediatric care and behavioral-health services at smaller scale.

State-level competitive standing is mixed by code: T1015 ranks #9 of 44 providers in-state (81th percentile; typical, unremarkable volume for this code), while 99213 ranks #59 of 696 providers in-state (92th percentile; typical, unremarkable volume) and 99214 ranks #84 of 596 (86th percentile; typical, unremarkable volume). In plain terms, the center is a modest-to-strong statewide participant on E/M lines (especially 99213) but not an outlier among FQHCs on the bundled clinic code.

There are a few code-level outliers that stand above typical state volume: 99177 (vision screening) is #2 of 22 providers in-state (95th percentile; notably above typical state volume) with 1.9K claims and $15.3K revenue, and 3008F is #2 of 24 (96th percentile; notably above typical state volume) with 7.1K claims and $14.2K revenue. These elevated ranks suggest the center performs more vision screening and reports more of the 3008F-coded activity than most peers in Nebraska.

Ancillary and preventive services are present but represent small shares of revenue: vaccinations (90686: 958 claims, $14.4K), A1C testing (83036: 2.6K claims, $12.8K), lipid panels (80061: 859 claims, $6K) and routine glucose monitoring (82962: 1.4K claims, $16.6K) indicate ongoing chronic-disease monitoring and preventative care workflows supporting the primary-care lines. These services supplement the E/M/clinic revenue but do not materially diversify the revenue base.

The NPI has been enumerated since 2013-12-17 (~13 years ago), signifying an established presence in the market; combined with high claim counts for core codes (e.g., T1015 18.4K claims, 99213 10.9K claims) this pattern indicates sustained primary-care throughput rather than a new entrant or a transient reporting pattern.

Because 94.0% of Medicaid revenue is concentrated in three codes (T1015, 99213, 99214), the provider’s Medicaid revenue is materially dependent on reimbursement and utilization stability for bundled clinic visits and E/M services. Any significant changes in Medicaid policy, rate-setting, or utilization patterns for those specific codes could disproportionately affect overall revenue, given the current concentration.

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	18,440	$280	$5.1M
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…	10,940	$200	$2.2M
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…	4,690	$190	$909.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	320	$220	$70.2K
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…	290	$200	$56.7K
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…	230	$210	$47.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	270	$150	$39.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	300	$120	$37.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,590	$10	$32.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	440	$70	$29.2K

Showing 1–10 of 83

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

Heartland Health Center, Inc. — 2 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	40	1,930	$230	$2.3M
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…	59	700	660	$70	$305.1K
D2930	N/A	47	50	540	$120	$269K
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…	84	600	610	$70	$251.4K
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…	40	70	230	$90	$222.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	259	510	450	$100	$168.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	432	510	440	$140	$155.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	8	20	50	$140	$102.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	25	70	100	$100	$100.9K
D1351	Sealant - per tooth	73	130	460	$30	$84.7K

Showing 1–10 of 83

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandon Jahnke	NE	General Practice Physician	$47.7K	$0
Kavir Saxena	NE	Psychiatry Physician	$30.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Go Physical Therapy, LLC	NE	Physical Therapist	$0	$12.4M
Saint Francis Medical Center	NE	General Acute Care Hospital	$0	$11M
Mid-plains Center For Behavioral Healthcare Services, Inc.	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10M
Grand Island Clinic Inc	NE	Family Medicine Physician	$0	$9.2M
Midwest Emergency Grand Island Inc	NE	Emergency Medicine Physician	$0	$3.8M
Active Family Chiropractic And Acupuncture PC	NE	Chiropractor	$0	$3.8M
Twin Rivers Urgent Care LLC	NE	Family Medicine Physician	$0	$2.9M
Family Practice Of Grand Island P C	NE	Family Medicine Physician	$0	$2.2M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Wholeness Healing Center PC	NE	Mental Health Counselor	$0	$2.1M

Heartland Health Center, Inc. — Billing Profile & Reimbursement Data

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Heartland Health Center, Inc. — 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