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.

Unmc Physicians (NPI 1417912114)

Key Findings

Field	Value
Entity Type	Organization
Organization	Unmc Physicians
Address	988102 Nebraska Medical Ctr
City	Omaha
State	NE
ZIP	68198
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicaid	$41.1M
Medicare	$0

UNMC PHYSICIANS effectively operates as a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $41.1M, indicating the organization’s billed activity in available data is concentrated in the Medicaid program rather than split across both payers. The absence of Medicare claims suggests analysts should treat this profile as single-payer (Medicaid) for competitive and utilization comparisons.

Revenue concentration is high: the precomputed top-3 Medicaid codes account for 46.8% of the provider’s total Medicaid revenue. Those top three codes are 99214 ($5.9M, 16.6%), 99285 ($5.9M, 16.4%), and 99284 ($4.9M, 13.8%), showing that E/M visit types drive nearly half of reported Medicaid dollars.

The mix of the top revenue-driving codes implies a hybrid clinical footprint with heavy emergency and outpatient evaluation-and-management activity. 99285 and 99284 are high- and moderate-level emergency department E/M codes while 99214 is an established outpatient E/M code; together these suggest substantial ED throughput combined with significant ambulatory care volume rather than a narrow specialty practice.

Inpatient and observation services are also material: 99232 ($1.2M, ranks #1 of 50, 100th percentile; extreme outlier) and 99233 ($1.1M, ranks #2 of 26, 96th percentile; typical, unremarkable volume) appear among top codes, indicating the provider bills for subsequent inpatient/observation care in addition to ED and outpatient encounters. This pattern supports an operational model that includes both emergency and inpatient continuity of care.

UNMC PHYSICIANS shows a dominant statewide diagnostic and procedural footprint across imaging and pathology lines. High-volume imaging/pathology codes include 93010 ($1.5M, rank #1 of 33, 100th percentile; extreme outlier), 74177 ($2.3M, rank #2 of 50, 98th percentile; extreme outlier), 71260 ($714.6K, rank #1 of 24, 100th percentile; extreme outlier), 70450 ($744.9K, rank #2 of 53, 98th percentile; extreme outlier), and 88305 ($955.8K, rank #1 of 46, 100th percentile; extreme outlier), indicating substantial on-site radiology and surgical pathology capacity.

The provider’s breadth of services extends into multiple specialties beyond ED and imaging: cardiology echo 93306 ($799.2K, rank #3 of 37, 94th percentile; notably above typical), behavioral health 90792 ($772.4K, rank #3 of 87, 98th percentile; notably above typical), obstetric ultrasound codes 76816/76818 (each notable and rank‑high), and dental extraction D7140 ($1.2M, rank #1 of 95, 100th percentile; extreme outlier). This pattern aligns with the registered taxonomy of Multi-Specialty Clinic/Center and suggests a large integrated multispecialty operation.

Not all activity is uniformly extreme: several ED and inpatient codes have only typical statewide standing, which introduces nuance to the otherwise outsized volumes. For example, 99283 is $762.4K and ranks #17 of 139 (88th percentile; typical, unremarkable volume) and 99233 is described as 96th percentile with a label of typical, unremarkable volume—indicating pockets of standard utilization alongside multiple extreme outliers.

The provider has long tenure in the registry (NPI enumerated 2006-04-18, ~20 years ago), which supports the interpretation that observed high volumes and wide service mix reflect an established, persistent operational footprint rather than a short-term reporting anomaly. For payers and competitors, this tenure plus repeated top-state rankings signals a stable, high-capacity Medicaid provider in Omaha, NE.

Medicaid: Complete Services Breakdown

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

237 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…	105,910	$60	$5.9M
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.	53,860	$110	$5.9M
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.	59,530	$80	$4.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	25,500	$90	$2.3M
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…	57,070	$40	$2.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	97,370	$20	$1.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21,810	$60	$1.2M
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…	34,460	$30	$1.2M
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…	21,650	$50	$1.1M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	83,610	$10	$1.1M

Showing 1–10 of 237

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

Unmc Physicians — 21 of 25 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

237 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.	3	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.	17	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.	2	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2	50	820	$160	$461.3K
D7240	N/A	3	10	530	$250	$429.6K
36512	Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…	2	10	130	$2,950	$392.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3	40	350	$170	$366.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2	20	270	$260	$342.4K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	4	10	210	$90	$329.3K
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	700	660	$70	$305.1K

Showing 1–10 of 237

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Lisa Chaiken	CA	Radiation Oncology Physician	$1.6M	$0
Thomas Pugh	CO	Radiation Oncology Physician	$914.7K	$0
Haysam Akkad	NE	Interventional Cardiology Physician	$817.6K	$0
Ariyan Javadi	WI	Diagnostic Radiology Physician	$58.4K	$543.8K
Kelsey Mitchell	NE	Physician Assistant	$583.1K	$0
Marwan Salfity	NE	Cardiovascular Disease Physician	$526.8K	$0
John Bishay	NE	Urology Physician	$433.8K	$0
William Blair	GA	Vascular & Interventional Radiology Physician	$425.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Nebraska Medical Center	NE	General Acute Care Hospital	$0	$76.5M
Joel Michalski	NE	Internal Medicine Physician	$2M	$0
David Crockett	NE	Internal Medicine Physician	$982.8K	$0
Unmc College Of Dentistry	NE	Dentist	$0	$974.6K
Amanda Dimmitt	NE	Diagnostic Radiology Physician	$287.6K	$0
Joel Brink	NE	Diagnostic Radiology Physician	$285.8K	$0
Han Kim	NE	General Practice Dentistry	$0	$285.8K
Shahid Hussain	NE	Diagnostic Radiology Physician	$201.7K	$32.5K
Brent Timperley	NE	Ophthalmology Physician	$204.9K	$0
Chris Cornett	NE	Orthopaedic Surgery Physician	$203K	$0

Unmc Physicians — Billing Profile & Reimbursement Data

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Unmc Physicians — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References