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.

Madonna Rehabilitation Hospital (NPI 1417045642)

Field	Value
Entity Type	Organization
Organization	Madonna Rehabilitation Hospital
Address	5401 South St
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$434.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	10,010	$40	$370.3K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	910	$40	$38.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	750	$20	$15.8K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	60	$100	$6.1K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	30	$80	$2.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	40	$20	$680

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

Madonna Rehabilitation Hospital — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	9	50	670	$30	$186.5K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2	20	120	$70	$26.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	16	80	210	$10	$18K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	4	10	40	$110	$11.2K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	2	10	60	$130	$7.9K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	20	30	70	$10	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Madonna Rehabilitation Hospital	NE	Rehabilitation Hospital	$0	$1.6M
Jeffry Ailes	NE	Diagnostic Radiology Physician	$1.1M	$0
Curtis Burhoop	NE	Diagnostic Radiology Physician	$687.7K	$0
Jonathan Felt	NE	Diagnostic Radiology Physician	$527.9K	$0
Mary Curtis	NE	Diagnostic Radiology Physician	$367.7K	$0
Ayodale Odulate	NE	Diagnostic Radiology Physician	$364.9K	$0
Kevin Gillespie	NE	Diagnostic Radiology Physician	$224.7K	$0
Michael Dewald	NE	Diagnostic Radiology Physician	$221.7K	$0
Gerold Stark	NE	Internal Medicine Physician	$214.8K	$0
Lewis Plachy	NE	Internal Medicine Physician	$210.9K	$0

Nearby Providers

Other providers in the same ZIP code as Madonna Rehabilitation Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Integrated Behavioral Health Services	NE	Community/Behavioral Health Agency	$0	$16.3M
Nebraska Emergency Medicine PC	NE	Emergency Medicine Physician	$0	$14.9M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Eric Avery	NE	Hematology & Oncology Physician	$3.1M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0

Madonna Rehabilitation Hospital — Billing Profile & Reimbursement Data

Sign up for Madonna Rehabilitation Hospital — Billing Profile & Reimbursement Data policy alerts

Madonna Rehabilitation Hospital — Billing Profile & Reimbursement Data

Sign up for Madonna Rehabilitation Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References