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.

Elizabeth Clemens (NPI 1386795821)

Field	Value
Entity Type	Individual
Organization	Elizabeth Clemens
Address	2 W 42nd St
City	Scottsbluff
State	NE
ZIP	69361
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicare	$16.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	160	$50	$7.6K
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…	50	$80	$3.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$110	$2.3K
43281	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	10	$140	$1.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$30	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Elizabeth Clemens — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	398	1,390	80	$60	$8.6K
43281	4	10	10	$520	$6.7K
99223	752	1,060	40	$120	$6.3K
99222	189	880	30	$90	$3.5K
99231	221	520	40	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Physicians Clinic	NE	Family Medicine Physician	$0	$9M
John Kabalin	NE	Urology Physician	$453.6K	$0
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Mark Hartman	NE	Radiation Oncology Physician	$287.2K	$0
Laroy Williams	NE	Urology Physician	$286.8K	$0
Shanon Smith	NE	Diagnostic Radiology Physician	$275.5K	$0
Jed Hollingsworth	NE	Diagnostic Radiology Physician	$257.2K	$8.1K
Paul Rodriguez	NE	Diagnostic Radiology Physician	$259.9K	$0
Tara Longoria	NE	Family Medicine Physician	$259.8K	$0
Brittany Eirich	NE	Internal Medicine Physician	$248.5K	$0

Nearby Providers

Other providers in the same ZIP code as Elizabeth Clemens, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Medical Center	NE	General Acute Care Hospital	$0	$15.1M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M
Regional West Medical Center	NE	Emergency Medicine Physician	$0	$1.7M
Med-trans Corporation	NE	Air Ambulance	$1.5M	$8.9K
Valley Ambulance Services, Inc	NE	Ambulance	$558K	$868.6K
Regional West Medical Center	NE	Home Health Agency	$0	$1.4M
Options In Psychology LLC	NE	Psychologist	$0	$1.2M
Webb Orthodontics, LLP	NE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Quick Care Medical Services Inc	NE	Urgent Care Clinic/Center	$0	$1.1M
Renal Treatment Centers West Inc	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M

Elizabeth Clemens — Billing Profile & Reimbursement Data

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Elizabeth Clemens — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References