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.

Holdrege Medical Clinic, P.C. (NPI 1427089010)

Field	Value
Entity Type	Organization
Organization	Holdrege Medical Clinic, P.C.
Address	516 W 14th Ave
City	Holdrege
State	NE
ZIP	68949
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 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…	12,090	$60	$676.8K
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…	9,460	$70	$633.8K
99335	N/A	3,660	$50	$171.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	490	$80	$40.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	960	$40	$37.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	8,560	$1	$25.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	460	$40	$20.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	190	$100	$18.9K
99336	N/A	230	$80	$17.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	1,000	$20	$14.9K

Showing 1–10 of 36

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

Holdrege Medical Clinic, P.C. — 2 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

36 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…	53	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…	38	600	610	$70	$251.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	56	70	360	$80	$234.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	64	70	100	$100	$100.9K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	12	20	210	$40	$91.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	6	10	470	$70	$69.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	64	130	1,410	$10	$69.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	51	150	1,610	$10	$47K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	6	20	330	$20	$45.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	32	110	70	$100	$43.2K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Berney	NE	Family Medicine Physician	$332K	$0
Scott Ehresman	NE	Family Medicine Physician	$284.1K	$0
Shane Smith	NE	Family Medicine Physician	$281K	$0
Charles Christie	NE	Physician Assistant	$222K	$0
Mallory Haas	NE	Physician Assistant	$221.3K	$0
Kathryn Thelen	NE	Family Medicine Physician	$196.5K	$0
Katie Luthy	NE	Physician Assistant	$35.9K	$0

Nearby Providers

Other providers in the same ZIP code as Holdrege Medical Clinic, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phelps Memorial Health Center	NE	Critical Access Hospital	$0	$1.8M
Phelps Memorial Health Center	NE	Rural Health Clinic/Center	$0	$990.6K
Brandon Smith	NE	Physical Therapist	$154.2K	$0
Walter Mccormick	NE	Optometrist	$68.3K	$0
Brett Hytrek	NE	Optometrist	$45.2K	$0
Jessica Bergquist	NE	Physician Assistant	$15.6K	$0

Holdrege Medical Clinic, P.C. — Billing Profile & Reimbursement Data

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Holdrege Medical Clinic, P.C. — 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