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.

Father Flanagan's Boys' Home (NPI 1457458556)

Field	Value
Entity Type	Organization
Organization	Father Flanagan's Boys' Home
Address	555 N 30th St
City	Omaha
State	NE
ZIP	68131
Taxonomy	Children's Hospital
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

Key Findings

FATHER FLANAGAN'S BOYS' HOME reports $16.2M in lifetime Medicaid revenue and has no Medicare billing on file, making Medicaid the de facto single payer exposure for this entity. The top three Medicaid codes by revenue account for 78.7% of the provider's total Medicaid revenue, indicating a high concentration of reimbursement in a small set of procedures.

Revenue is heavily concentrated in three procedure areas: 41899 ($7.2M, 46.9%), 69436 ($3.2M, 20.5%), and 43239 ($1.8M, 11.4%). These codes together dominate the provider’s Medicaid mix, suggesting that a few high-revenue procedural lines drive the majority of financial activity.

The specific code mix — 41899 (dental/procedures on teeth and alveolar structures), 69436 (tympanostomy with ventilation tube under general anesthesia), and 43239 (upper endoscopy with biopsy) — is consistent with a pediatric surgical and procedure-focused operation within a Children's Hospital taxonomy. The prominence of ENT, dental, and endoscopic biopsy procedures points to sustained operative throughput and perioperative support services.

Competitive standing in-state is notable for several top codes: 43239 ranks #1 of 29 providers in-state (100th percentile; notably above typical state volume), 69436 ranks #2 of 19 (94th percentile; notably above typical state volume), and 41899 ranks #2 of 17 (94th percentile; typical, unremarkable volume). These ranks indicate the provider is a leading in-state center for pediatric endoscopy and a major participant in tympanostomy volumes, while dental procedure volume is high but not an outlier.

Beyond the top three, the provider posts high, above-typical volumes for several ancillary and perioperative items that support surgical throughput: 87651 (6.3K claims, $317.4K; ranks #3 of 67, 97th percentile; notably above typical state volume) and J3010 (8.9K claims, $71K; ranks #3 of 37, 94th percentile; notably above typical state volume). These patterns suggest routine pre/post-op testing and frequent use of procedural medications consistent with an ambulatory surgery or inpatient pediatric procedural practice.

There is a long tail of lab, imaging, and supply codes contributing smaller shares of revenue, illustrating service breadth beyond core procedures: examples include 70553 ($206.4K), 82306 ($114.2K), 80050 ($109.5K), and 74018 ($88.8K). While none of these individually approach the top three, their presence reflects integrated diagnostic and perioperative support typical of a pediatric hospital setting.

Several additional codes show top-state placement for specialized pediatric services: 42830 (adenoidectomy) ranks #1 of 6 (100th percentile; notably above typical state volume), 95812 (extended EEG) ranks #1 of 5 (100th percentile; typical, unremarkable volume), and 70310 (partial dental X-ray) ranks #1 of 3 (100th percentile; typical, unremarkable volume). These #1 ranks indicate leadership in select pediatric ENT, neurologic diagnostics, and dental imaging within Nebraska.

The NPI was enumerated on 2006-09-20 (~20 years ago), indicating long tenure in the market. Coupled with concentrated Medicaid revenue and multiple top in-state ranks, this tenure suggests an established pediatric procedural center whose financial performance is tightly linked to Medicaid reimbursement and state-level procedural referral patterns.

Medicaid: Complete Services Breakdown

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

110 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4,220	$1,720	$7.2M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,890	$1,670	$3.2M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,120	$830	$1.8M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	750	$740	$555K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,240	$190	$420.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6,350	$50	$317.4K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	150	$2,160	$316.8K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	440	$670	$297.3K
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…	330	$630	$206.4K
G0378	Hospital observation service, per hour	950	$120	$115.4K

Showing 1–10 of 110

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

Father Flanagan's Boys' Home — 6 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	20	460	$1,260	$1.8M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2	20	240	$900	$448.5K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	16	20	610	$280	$372.7K
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…	9	20	270	$260	$342.4K
G0378	Hospital observation service, per hour	15	30	950	$120	$276.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1	30	280	$450	$266.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	14	20	800	$190	$241K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	17	50	1,140	$60	$200K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	22	40	220	$120	$191.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	4	10	70	$1,320	$172K

Showing 1–10 of 110

Related Providers

Other providers that share a Tax Identification Number (TIN) with Father Flanagan's Boys' Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Father Flanagan's Boys' Home	NE	Pediatrics Physician	$0	$23.1M
Father Flanagan's Boys Home	NE	Psychologist	$0	$3M
Father Flanagan's Boys Home	NE	Counselor	$0	$1M
Alexander Bernal	NE	Gastroenterology Physician	$397.9K	$0
Father Flanagan's Boys Home	NE	Psychologist	$0	$263.9K
Dominick Dimaio	NE	Anatomic Pathology Physician	$173.3K	$0
Brian Kelly	NE	Allergy & Immunology Physician	$159.1K	$0
Ji Lee	IL	Pain Medicine (Anesthesiology) Physician	$139.7K	$13.2K
Chad Eicher	NE	Vascular & Interventional Radiology Physician	$117.5K	$0
William Leight	NE	Otolaryngology Physician	$89.8K	$0

Nearby Providers

Other providers in the same ZIP code as Father Flanagan's Boys' Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physician Associates Of Nebraska PC	NE	Emergency Medicine Physician	$0	$4.9M
Dialysis Clinic Inc.	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
Midwest Eye Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.8M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Haysam Akkad	NE	Interventional Cardiology Physician	$817.6K	$0
Pamela Helem	NE	Mental Health Counselor	$0	$680.9K
Michael Feilmeier	NE	Ophthalmology Physician	$617.6K	$0

Father Flanagan's Boys' Home — Billing Profile & Reimbursement Data

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Father Flanagan's Boys' Home — 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