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.

Nebraska Orthopaedic Hospital LLC (NPI 1356345318)

Nebraska Orthopaedic Hospital LLC is a general acute care hospital provider located in Omaha, Nebraska. This profile covers 0 Medicare and 38 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	Nebraska Orthopaedic Hospital LLC
Address	2808 South 143rd Plaza
City	Omaha
State	NE
ZIP	68144
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 8, 2005

Payer Source	Total Paid
Medicaid	$787.6K
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	2,730	$120	$335.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,130	$70	$203.6K
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.	820	$140	$116.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	390	$260	$101.9K
J3490	Unclassified drugs	5,610	$1	$5.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	80	$70	$5.6K
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.	20	$300	$4.9K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	20	$220	$3.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	100	$20	$2.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	20	$80	$1.9K

Showing 1–10 of 38

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

Nebraska Orthopaedic Hospital LLC — 1 of 20 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	54	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.	36	40	820	$260	$734.1K
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.	45	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.	77	80	300	$120	$519.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	126	130	650	$40	$179.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	71	90	600	$90	$156.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	53	210	660	$40	$122.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	94	130	1,410	$10	$69.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	62	100	190	$20	$55.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	98	150	1,610	$10	$47K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Cheatle	IA	Emergency Medicine Physician	$76.6K	$0
Patrick Costello	IA	Emergency Medicine Physician	$75.3K	$0
Patrick Mulherin	SC	Emergency Medicine Physician	$60.7K	$0
Scott Madden	NE	Emergency Medicine Physician	$55.6K	$0
Evan Neesen	IA	Family Medicine Physician	$52.1K	$0
Kevin Montgomery	NE	Emergency Medicine Physician	$39.4K	$0
Margaret Sheehy	MA	Emergency Medicine Physician	$11.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radiology Consultants PC	NE	Diagnostic Radiology Physician	$0	$10M
Omaha Insomnia And Psychiatric Services, LLC	NE	Psychiatry Physician	$0	$1.9M
Becker Counseling Services LLC	NE	Mental Health Counselor	$0	$1.3M
Summit Dental Health - Oakview, LLC	NE	General Practice Dentistry	$0	$1.2M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$1.1M
Shoptikal LLC	NE	Eyewear Supplier	$0	$987.5K
Pedodontics, PC	NE	Pediatric Dentistry	$0	$839.9K
Nebraska Home Health - Opco LLC	NE	Home Health Agency	$0	$828K
Diamond Chiropractic & Acupuncture, LLC	NE	Chiropractor	$0	$684.7K
Nada Skaf	NE	Rheumatology Physician	$612.3K	$0

Nebraska Orthopaedic Hospital LLC — Billing Profile & Reimbursement Data

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Nebraska Orthopaedic Hospital LLC — 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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