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.

Blue Valley Behavioral Health Inc (NPI 1316019508)

Key Findings

Field	Value
Entity Type	Organization
Organization	Blue Valley Behavioral Health Inc
Address	1123 N 9th St
City	Beatrice
State	NE
ZIP	68310
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

This provider has no Medicare billing on file and reports $14.7M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operation rather than a mixed Medicare/Medicaid provider. Analysts should treat payer mix as single-payer dominated for operational and revenue-risk modeling purposes.

Revenue is highly concentrated: the top three Medicaid codes account for 90.1% of this provider's total Medicaid revenue. H2015 accounts for $6.3M (42.9%), 90837 accounts for $6.3M (42.8%), and 90834 accounts for $643.5K (4.4%), indicating most margin and utilization risk is tied to a very small set of service lines.

The code mix points to an outpatient behavioral health and community-support business model: H2015 (comprehensive community support services, per 15 minutes) combined with high-volume psychotherapy codes 90837 (long psychotherapy) and 90834 (mid-length psychotherapy) suggests the operation delivers intensive community support plus extended individual psychotherapy as its core services. This pattern aligns with a community/behavioral health agency taxonomy.

Competitive standing for the top revenue drivers is dominant within the state. H2015 ranks #1 of 26 providers in-state (100th percentile; notably above typical state volume for this code), and 90837 ranks #1 of 511 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), indicating market-leading scale on those two services.

Telehealth-originating site activity is material: Q3014 shows 8.2K claims and $139.9K revenue, ranking #2 of 34 providers in-state (97th percentile). This level of Q3014 billing suggests the provider either operates multiple originating sites or frequently supports patients accessing telehealth, which has implications for access footprint and technology investments.

Evaluation-and-management services are present but secondary to psychotherapy and community support: 99214 (7.8K claims, $502.3K, 3.4%) and 99213 (9.8K claims, $402.3K, 2.7%) indicate routine outpatient medical management is part of the care mix, with both codes ranking in typical-to-strong statewide percentiles (92nd and 91st). These E/M volumes point to integrated medical evaluation alongside behavioral services rather than primary-care scale.

Diagnostic/assessment services and other ancillary behavioral codes contribute modestly to revenue. 90792 (846 claims, $167.5K, 1.1%, ranks #14 of 87, 85th percentile) and 90791 (642 claims, $83.5K, 0.6%, ranks #11 of 154, 93rd percentile) show the provider performs psychiatric evaluations but these are a small share of overall Medicaid revenue; similarly, H0015 and H0001 appear at low volumes and low revenue shares.

This entity has long tenure in the data set (NPI enumerated 2006-11-14, ~20 years ago) and a mid-size Medicaid revenue base ($14.7M). Combined with the extreme concentration in a few codes and top statewide ranks for H2015 and 90837, the profile is of an established, specialized behavioral health agency with outsized scale in community support and extended psychotherapy services within Nebraska.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	53,110	$120	$6.3M
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…	43,740	$140	$6.3M
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…	5,960	$110	$643.5K
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…	7,850	$60	$502.3K
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…	9,810	$40	$402.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	850	$200	$167.5K
Q3014	Telehealth originating site facility fee	8,230	$20	$139.9K
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…	1,470	$70	$104.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	640	$130	$83.5K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	240	$110	$26K

Showing 1–10 of 13

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

Blue Valley Behavioral Health Inc — 3 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	1	30	3,690	$100	$1.1M
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…	67	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…	47	600	610	$70	$251.4K
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…	32	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…	1	510	440	$140	$155.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	14	90	70	$200	$120.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8	10	420	$70	$62K
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…	12	130	140	$60	$36.4K
H0001	Alcohol and/or drug assessment	8	10	80	$180	$32K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	30	50	260	$30	$30.5K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beatrice Community Hospital & Health Center Inc	NE	Critical Access Hospital	$0	$10.4M
Beatrice Community Hospital & Health Center Inc	NE	Rural Health Clinic/Center	$0	$5.2M
Beatrice Community Hospital & Health Center Inc	NE	Rural Health Clinic/Center	$0	$2.4M
City Of Beatrice	NE	Ambulance	$332.9K	$491.1K
Beatrice Community Hospital & Health Center Inc	NE	Emergency Medicine Physician	$0	$592.7K
Beatrice Family Chiropractic, PC	NE	Chiropractor	$0	$284.3K
Gleason Family Dental Clinic, P.C.	NE	General Practice Dentistry	$0	$245.8K
Ryan Wade	NE	Physical Therapist	$177K	$0
Deines Pharmacy, LLC	NE	Community/Retail Pharmacy	$111.8K	$27.4K
Clabaugh Pharmacy Inc	NE	Community/Retail Pharmacy	$109.8K	$40

Blue Valley Behavioral Health 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