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.

Midwest Anesthesia P.C. (NPI 1316011315)

Midwest Anesthesia P.C. is a interventional pain medicine physician provider located in Fremont, Nebraska. This profile covers 0 Medicare and 9 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	Midwest Anesthesia P.C.
Address	2900 Elk Ln
City	Fremont
State	NE
ZIP	68025
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicaid	$959.9K
Medicare	$0

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

9 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…	18,780	$30	$488.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12,230	$30	$415.7K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	340	$70	$22.5K
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…	600	$40	$21.7K
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…	80	$80	$6.2K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	50	$60	$3.2K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	70	$20	$1.2K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	30	$40	$1.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	40	$1	$180

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

Midwest Anesthesia P.C. — 3 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

9 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…	26	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…	300	600	610	$70	$251.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2	30	990	$20	$54K
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…	79	130	130	$90	$43.8K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	4	10	100	$70	$12.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	14	20	400	$10	$9.9K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	1	10	40	$70	$9.7K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	3	10	30	$110	$4.3K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	4	10	90	$30	$4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Soubrata Raikar	NE	Interventional Pain Medicine Physician	$71.9K	$0
Rebecca Prange	MA	Certified Registered Nurse Anesthetist	$36.6K	$0
Nicole Burton	NE	Nurse Practitioner	$28.2K	$0
Linan Bo	NE	Family Nurse Practitioner	$22.3K	$0
Keshia Edsill	NE	Nurse Practitioner	$14.8K	$0
Gentry Klein	NE	Family Nurse Practitioner	$3.6K	$0

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
Pediatric Partners L.L.C.	NE	Family Nurse Practitioner	$0	$2.8M
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
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

Midwest Anesthesia P.C. — Billing Profile & Reimbursement Data

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Midwest Anesthesia P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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