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    OpenPayerNPI Medicare & MedicaidChildrens Home Healthcare
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    Childrens Home Healthcare — Billing Profile & Reimbursement Data

    NPI 1326140138 · Omaha, NE · Home Health Agency

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    Childrens Home Healthcare is a home health agency provider located in Omaha, Nebraska. This profile covers 0 Medicare and 116 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChildrens Home Healthcare
    Address3000 S 84th St
    CityOmaha
    StateNE
    ZIP68124
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$40M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer at scale: CHILDRENS HOME HEALTHCARE reports no Medicare billing on file and $40M in total Medicaid revenue, indicating its operations are concentrated in the Medicaid market rather than Medicare. The absence of Medicare activity should be considered when benchmarking against dual‑payer peers.

    Revenue is highly concentrated in enteral nutrition lines: the precomputed top three Medicaid codes account for 44.2% of the provider's total Medicaid revenue, led by B4035 ($8.1M, 23.1%), followed by B4149 ($4.5M, 12.7%) and B4161 ($3M, 8.4%). This concentration shows a small set of codes driving nearly half of all Medicaid revenues.

    The code mix and highest‑revenue items point to a core business in pediatric enteral nutrition and related consumables. High‑revenue codes are dominated by enteral feeding supply kits and enteral formulas (B4035, B4149, B4161, B4160, B4153, B4152), plus enteral pumps (B9002), which together suggest operations focused on ongoing supply fulfillment and formula dispensing for tube‑fed patients.

    Beyond nutrition, the provider has substantial activity supplying respiratory and monitoring equipment, indicating a bundled home‑medical equipment capability: E0445 oximeters ($2.3M, 6.4%) and E0465 home ventilators ($1.8M, 5.2%) are both material revenue contributors. These respiratory lines, together with E1390 oxygen concentrators ($495.3K), show they serve complex home respiratory needs in addition to enteral services.

    CHILDRENS HOME HEALTHCARE appears to be a dominant statewide supplier for many of its top DME and supply codes: multiple top codes rank #1 in Nebraska and are at the 100th percentile (for example, B4035 ranks #1 of 9 providers in‑state, B4149 ranks #1 of 2, and B4161 ranks #1 of 6). That consistent #1 ranking across a broad set of codes suggests the provider is a major market leader in Nebraska for pediatric enteral and related home‑care supplies.

    Operational scale is visible in claims volumes for recurring consumables: examples include 24.1K claims for B4035 and 12.2K claims for B4160, reflecting high frequency, recurring billing consistent with ongoing supply delivery. These claim counts imply logistics and inventory operations sized for repeated, consumable fulfillment rather than one‑time durable equipment sales.

    The provider shows a clear pediatric orientation in its top code mix and specialties: pediatric‑specific codes such as B4161 (pediatric hydrolyzed/amino acid formulas, $3M) and methods supporting pediatric care like E0202 phototherapy ($435.9K) and multiple pediatric incontinence codes (T4530, T4533, T4532) point to a client base skewed toward children with complex nutritional or respiratory needs. This should inform payers evaluating networks or programs focused on pediatric home care.

    Some codes have no close in‑state peers or are unique in the state, which limits comparative benchmarking: E0482 and E0202 each rank #1 of 1 providers in‑state with a 0th percentile label (no state peer volume comparison available), so while the provider bills for these items they cannot be positioned against state volumes. Conversely, G0299 skilled nursing (reported as #5 of 48 providers in‑state, 91th percentile) indicates a more modest position in home skilled nursing services relative to its dominant status in nutrition and DME.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    116 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape24,090$340$8.1M
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…9,620$460$4.5M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…5,150$570$3M
    B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…12,190$200$2.4M
    E0445Oximeter device for measuring blood oxygen levels non-invasively3,250$700$2.3M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)1,870$970$1.8M
    B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…1,280$840$1.1M
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each6,800$160$1.1M
    B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each9,320$110$1M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each5,340$160$858.9K

    Showing 1–10 of 116

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    116 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…1104,900$460$2.3M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)1101,480$850$1.3M
    E0445Oximeter device for measuring blood oxygen levels non-invasively1101,630$700$1.1M
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape110850$300$1M
    E0482Cough stimulating device, alternating positive and negative airway pressure1101,410$450$631.6K
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)410630$220$557.2K
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…110240$540$555.1K
    B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…110650$840$544.9K
    B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…110650$180$533.1K
    E0202Phototherapy (bilirubin) light with photometer1101,720$250$435.2K

    Showing 1–10 of 116

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Childrens Home Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Home HealthcareNEDurable Medical Equipment & Medical Supplies$0$501.5K

    Nearby Providers

    Other providers in the same ZIP code as Childrens Home Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alegent Health Bergan Mercy Health SystemNEGeneral Acute Care Hospital$0$45.8M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Maxim Healthcare Services, Inc.NEHome Health Agency$0$29.7M
    Lutheran Family Services Of Ne, IncNEMental Health Counselor$0$5.8M
    Epn Of Nebraska LLCNEEmergency Medicine Physician$0$5.6M
    Ralph HaukeNEHematology & Oncology Physician$2.5M$0
    Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLCNEPediatric Dentistry$0$2.5M
    Osc LLCNEAmbulatory Surgical Clinic/Center$1.3M$799.9K
    Shoptikal LLCNEEyewear Supplier$0$1.9M
    Yungpo SuNEHematology & Oncology Physician$1.9M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nebraska Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Childrens Home Healthcare — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska