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NPI 1356656417 · Hastings, NE · Family Medicine Physician
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The Mary Lanning Memorial Hospital Association is a family medicine physician provider located in Hastings, Nebraska. This profile covers 0 Medicare and 51 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Mary Lanning Memorial Hospital Association |
| Address | 715 N Saint Joseph Ave |
| City | Hastings |
| State | NE |
| ZIP | 68901 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | August 13, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.3M |
| Medicare | $0 |
This provider effectively operates as a Medicaid-focused billing entity: there is no Medicare revenue on file while lifetime Medicaid revenue totals $4.3M, so the organization is functionally single-payer in these datasets and Medicaid drives the financial picture. Analysts should treat observations about Medicare penetration as not applicable for this NPI because no Medicare billing is recorded.
Revenue is highly concentrated in a small set of evaluation-and-management and emergency department codes: the top three Medicaid codes (99214, 99284, 99213) together account for 68.4% of the provider’s Medicaid revenue. Individually, 99214 contributes $1.4M (33.3% of Medicaid revenue), 99284 contributes $903.4K (21.0%), and 99213 contributes $610.7K (14.2%), indicating that outpatient established visits and moderate-complexity ED visits are the primary revenue drivers.
The code mix points to a combined ambulatory primary-care and emergency-department operating model: 99214 and 99213 are office/outpatient E/M visits for established patients while 99284 and 99283 are ED E/M codes. The presence of inpatient E/M codes (99222, 99223, 99233) and anesthesia codes such as 00170 and 00126 further suggests that the provider’s services include hospital-based inpatient/observation and operative or procedure-related anesthesia work.
Competitive standing within the state is mixed but strong for key ambulatory volume: 99214 ranks #15 of 596 providers in-state at the 98th percentile and is described as notably above typical state volume, making the provider a major in-state performer for established outpatient visits. By contrast, 99284 ranks #18 of 112 (85th percentile) and 99213 ranks #44 of 696 (94th percentile) and are characterized as typical or unremarkable volumes relative to peers, so dominance is concentrated mainly around 99214.
There are notable programmatic specialties beyond primary care and ED: anesthesia code 00170 produced $394.6K (9.2% of Medicaid revenue) and ranks #3 of 17 in-state, and high-complexity ED code 99285 contributes $97.3K (2.3%). These items indicate a meaningful procedural and acute-care component to the practice mix that complements ambulatory E/M services.
Smaller but operationally relevant services appear across preventive, lab, and chronic-care codes: vaccinations (90686, 90471), routine lab orders (36415, 85025, 83036), and ESRD monthly management codes (90960, 90961) are present though they account for much smaller shares of revenue. Their presence suggests the provider maintains a broader outpatient service set including immunizations, basic diagnostics, and some dialysis-related management rather than being narrowly specialized.
Statistical standing flags to note: 99214’s 98th-percentile rank is labeled notably above typical and marks it as a clear outlier in state outpatient volume for established visits, while 99222 (2.2K claims, $134.7K, 3.1% of Medicaid revenue) ranks #2 of 27 in-state at the 96th percentile and is also described as notably above typical state volume for that inpatient/observation initial visit code. Several other high-volume codes (for example 99284, 99213, 99283) are characterized in the data as typical or unremarkable despite sizable revenue contributions.
The provider has been long-enumerated under this NPI, with NPI registration dated 2010-08-13 (~16 years ago), indicating an established presence in the market. Together with the Medicaid concentration and the strong state-level ranking on 99214, this tenure supports the interpretation of a stable, Medicaid-facing operation with significant ambulatory and emergency/inpatient activity.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
51 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 23,900 | $60 | $1.4M |
| 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. | 13,290 | $70 | $903.4K |
| 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… | 13,570 | $50 | $610.7K |
| 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. | 9,540 | $60 | $572.6K |
| 00170 | The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy. | 2,070 | $190 | $394.6K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 2,210 | $60 | $134.7K |
| 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. | 910 | $110 | $97.3K |
| 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… | 130 | $240 | $29.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 9,300 | $1 | $27.9K |
| 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. | 560 | $40 | $20.8K |
Showing 1–10 of 51
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
51 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. | 18 | 110 | 770 | $110 | $774.3K |
| 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. | 26 | 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. | 32 | 80 | 300 | $120 | $519.5K |
| 01967 | The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery. | 5 | 10 | 100 | $500 | $318.6K |
| 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… | 44 | 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… | 15 | 600 | 610 | $70 | $251.4K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 18 | 30 | 630 | $50 | $250.1K |
| 00170 | The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy. | 3 | 20 | 80 | $190 | $216.1K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 42 | 50 | 670 | $30 | $186.5K |
| 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. | 48 | 90 | 600 | $90 | $156.8K |
Showing 1–10 of 51
Other providers in the same ZIP code as The Mary Lanning Memorial Hospital Association, ranked by combined Medicare and Medicaid revenue.
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