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.

Z Family Practice, P.C. (NPI 1417209412)

Z Family Practice, P.C. is a family medicine physician provider located in Omaha, Nebraska. This profile covers 0 Medicare and 35 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	Z Family Practice, P.C.
Address	4951 Center St
City	Omaha
State	NE
ZIP	68106
Taxonomy	Family Medicine Physician
NPI Enumerated	October 15, 2012

Payer Source	Total Paid
Medicaid	$575.8K
Medicare	$0

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

35 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…	9,020	$50	$441.8K
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…	1,080	$70	$77.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	$100	$13.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	920	$10	$12K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	260	$30	$8.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	50	$100	$4.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,280	$1	$3.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	250	$10	$3.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	150	$20	$2.6K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	930	$1	$1.9K

Showing 1–10 of 35

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

Z Family Practice, P.C. — 0 of 21 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

35 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…	70	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…	238	600	610	$70	$251.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	52	70	100	$100	$100.9K
99203	The provider sees a new 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 provider…	159	190	130	$70	$48.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	39	110	70	$100	$43.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	94	250	140	$60	$29.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	13	20	60	$20	$23K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	74	210	110	$10	$19.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	131	270	1,170	$1	$16.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	105	130	200	$20	$13.3K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Alliance Rehabilitation Services	NE	Community/Behavioral Health Agency	$0	$29.4M
University Of Nebraska Board Of Regents	NE	Specialist	$0	$1.4M
Summit Dental Health - Center LLC	NE	General Practice Dentistry	$0	$1.3M
Think Aksarben, LLC	NE	Multi-Specialty Clinic/Center	$0	$1.2M
Prime Home Care LLC	NE	Home Health Agency	$0	$513.2K
Harry Klein	NE	Rheumatology Physician	$462K	$0
Joseph Shehan	NE	Internal Medicine Physician	$460.1K	$0
Susan Scholer	NE	Internal Medicine Physician	$368.4K	$0
Kilborns Inc	NE	Community/Retail Pharmacy	$72.4K	$291.5K
Godfrey Chiropractic PC	NE	Chiropractor	$0	$224.5K

Z Family Practice, P.C. — Billing Profile & Reimbursement Data

Sign up for Z Family Practice, P.C. — Billing Profile & Reimbursement Data policy alerts

Z Family Practice, P.C. — Billing Profile & Reimbursement Data

Sign up for Z Family Practice, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References