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.

The Nebraska Medical Center (NPI 1356307581)

Field	Value
Entity Type	Organization
Organization	The Nebraska Medical Center
Address	987400 Nebraska Medical Ctr
City	Omaha
State	NE
ZIP	68198
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$76.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $76.5M in lifetime Medicaid revenue, so its observable fee‑for‑service activity in this dataset is effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid footprint. Analysts should treat Medicaid as the primary payment source when evaluating scale and service mix for THE NEBRASKA MEDICAL CENTER.

Revenue is materially concentrated: the precomputed top three Medicaid codes (99284, 41899, 96361) account for 33.6% of total Medicaid revenue, with those individual contributions reported as $5.3M, $4.7M, and $4.1M respectively. That concentration signals a relatively small set of high‑value services driving a third of Medicaid receipts.

The code mix for top revenue drivers indicates an emergency/acute care and procedure‑intensive operation: 99284 is a high‑volume ED E/M code, 96361 documents prolonged IV fluid therapy, and 41899 reports procedures on teeth/alveolar structures performed under a non‑specific dental procedure code. Combined with other top codes (99285, 99283, G0378), this suggests integrated ED, observation, and procedure capabilities rather than a primarily ambulatory clinic model.

THE NEBRASKA MEDICAL CENTER is a dominant statewide performer for multiple specific services: 41899 ranks #1 of 17 providers (100th percentile), G0463 ranks #1 of 36 (100th percentile) with 308.8K claims, and several infusion/chemotherapy and lab codes (96413, 96365, 87491, 80053, 87636) also rank #1 in state. These high ranks and percentiles indicate the hospital is a major in‑state provider for outpatient clinic throughput, infusion/oncology administrations, and high‑volume laboratory testing.

Several codes are flagged as statistical outliers in-state and should be highlighted for competitive analysis: G0463 is described as an "extreme outlier, far above typical state volume" with 308.8K claims, 80053 is an "extreme outlier" with 138.7K claims, and 87491 and 87591 likewise rank #1 and are called "extreme outlier, far above typical state volume." Those labels point to very large clinic and laboratory volumes relative to peers.

Emergency department and observation services form a clear operational axis: multiple ED E/M codes appear among top payers (99284 $5.3M, 99285 $2.8M, 99283 $1.6M, 99282 $703.7K) and G0378 (hospital observation service) contributes $2M. State ranks for these ED/observation codes are high (for example, 99284 at the 97th percentile and G0378 at the 96th percentile), supporting an ED/observation-centric service profile with above‑typical state volume.

Lab and testing capacity emerges as a strategic service line: proprietary PLA code 0202U generated $1.4M and ranks #2 of 17 (94th percentile), U0004 and multiplex codes (U0004 $796.7K rank #2; 87636 $695.7K rank #1) show substantial COVID and respiratory testing throughput, and CMP and NAAT panels (80053, 87491, 87591) are extreme outliers at #1 in‑state. This combination of PLA, high‑volume panels, and infectious disease testing indicates significant in‑house laboratory throughput and specialized testing capability.

The provider’s NPI was enumerated on 2006-04-25 (~20 years ago), indicating long tenure in the Medicare/Medicaid enrollment system; paired with $76.5M in Medicaid revenue and multiple #1 in‑state ranks, the record reflects an established, high‑volume Medicaid billing presence. For payers and competitors, that tenure plus concentrated service lines suggests stable, long‑running operational capacity in emergency, observation, infusion/oncology, imaging, and lab services.

Medicaid: Complete Services Breakdown

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

759 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	44,020	$120	$5.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	7,890	$600	$4.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16,810	$250	$4.1M
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.	22,800	$120	$2.8M
G0378	Hospital observation service, per hour	12,820	$160	$2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,930	$230	$2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	308,780	$10	$1.9M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,420	$220	$1.6M
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.	15,990	$100	$1.6M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,060	$360	$1.5M

Showing 1–10 of 759

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

The Nebraska Medical Center — 16 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

759 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	20	460	$1,260	$1.8M
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.	4	110	770	$110	$774.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2	40	820	$260	$734.1K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	32	30	8,070	$60	$681.6K
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.	15	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.	5	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4	50	820	$160	$461.3K
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	1	10	370	$1,250	$461.3K
A0180	Non-emergency transportation: ancillary: lodging-recipient	2	10	3,440	$120	$398.4K
36512	Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…	1	10	130	$2,950	$392.1K

Showing 1–10 of 759

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Nebraska Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Peters	NE	Diagnostic Radiology Physician	$134.8K	$0
Muriel Jepsen	NE	Optometrist	$23.8K	$0

Nearby Providers

Other providers in the same ZIP code as The Nebraska Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unmc Physicians	NE	Multi-Specialty Clinic/Center	$0	$41.1M
Joel Michalski	NE	Internal Medicine Physician	$2M	$0
David Crockett	NE	Internal Medicine Physician	$982.8K	$0
Unmc College Of Dentistry	NE	Dentist	$0	$974.6K
Amanda Dimmitt	NE	Diagnostic Radiology Physician	$287.6K	$0
Joel Brink	NE	Diagnostic Radiology Physician	$285.8K	$0
Han Kim	NE	General Practice Dentistry	$0	$285.8K
Shahid Hussain	NE	Diagnostic Radiology Physician	$201.7K	$32.5K
Brent Timperley	NE	Ophthalmology Physician	$204.9K	$0
Chris Cornett	NE	Orthopaedic Surgery Physician	$203K	$0

The Nebraska Medical Center — Billing Profile & Reimbursement Data

Sign up for The Nebraska Medical Center — Billing Profile & Reimbursement Data policy alerts

The Nebraska Medical Center — Billing Profile & Reimbursement Data

Sign up for The Nebraska Medical Center — Billing Profile & Reimbursement Data policy alerts

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