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.

Chadron Medical Clinic PC (NPI 1417167370)

Field	Value
Entity Type	Organization
Organization	Chadron Medical Clinic PC
Address	825 Centennial Dr
City	Chadron
State	NE
ZIP	69337
Taxonomy	General Practice Physician
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$413.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,250	$50	$306K
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…	1,700	$60	$107K
W0037	N/A	40	$1	$130
3074F	No Summary found for this code	240	$0	$0
3078F	No Summary found for this code	190	$0	$0

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

Chadron Medical Clinic PC — 0 of 3 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	106	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…	186	600	610	$70	$251.4K
W0037	N/A	4	10	370	$1	$4.1K
3074F	No Summary found for this code	20	40	490	$1	$50
3078F	No Summary found for this code	21	40	430	$1	$50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chadron Medical Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jerry Mclain	NE	Family Medicine Physician	$111.6K	$0
Lawrence Lauridsen	WY	Family Medicine Physician	$30.3K	$0
Ian Ahrens	NE	Physician Assistant	$12.3K	$0

Nearby Providers

Other providers in the same ZIP code as Chadron Medical Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chadron Community Hospital Corp.	NE	Critical Access Hospital	$0	$1.4M
Inspirit Counseling PC	NE	Community/Behavioral Health Agency	$0	$1.3M
Ann Brost Ma Counseling Agency	NE	Mental Health Counselor	$0	$659.3K
Jeanice Caporaso	NE	Mental Health Counselor	$0	$259.1K
Chadron Community Hospital Corp.	NE	Community/Behavioral Health Agency	$0	$252.9K

Chadron Medical Clinic PC — Billing Profile & Reimbursement Data

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Chadron Medical Clinic PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References