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.

The Mary Lanning Memorial Hospital Association (NPI 1487668471)

The Mary Lanning Memorial Hospital Association is a counselor provider located in Hastings, Nebraska. This profile covers 0 Medicare and 25 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	The Mary Lanning Memorial Hospital Association
Address	835 S Burlington Ave
City	Hastings
State	NE
ZIP	68901
Taxonomy	Counselor
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

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

25 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…	21,600	$60	$1.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,600	$100	$543.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	11,080	$40	$487.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	960	$220	$213.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,200	$150	$179.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3,460	$20	$76.1K
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…	1,270	$50	$67.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2,260	$20	$54.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	350	$140	$47.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,300	$40	$45.6K

Showing 1–10 of 25

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

The Mary Lanning Memorial Hospital Association — 3 of 20 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

25 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…	287	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…	18	600	610	$70	$251.4K
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…	27	50	670	$30	$186.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	36	510	450	$100	$168.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	284	510	440	$140	$155.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	4	60	390	$50	$121.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	12	90	70	$200	$120.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	15	20	270	$60	$67K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	9	50	300	$20	$63.7K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	13	20	330	$70	$53.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
Jacqueline Kelly	NE	Radiation Oncology Physician	$516.1K	$0
Sean Denney	NE	Interventional Cardiology Physician	$397.2K	$0
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$346.5K
Kaliprasad Ayala	NE	Cardiovascular Disease Physician	$260.8K	$0
Brent Hood	NE	Orthopaedic Surgery Physician	$222.1K	$0
Sean Pietrini	NE	Vascular & Interventional Radiology Physician	$216K	$0
John Havill	NV	Nephrology Physician	$213K	$0
Ryan Martin	NE	Pulmonary Disease Physician	$192.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Welch	NE	Retina Specialist (Ophthalmology) Physician	$10.2M	$0
William Terrell	NE	Retina Specialist (Ophthalmology) Physician	$8.6M	$0
The Bridge, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$6.8M
South Central Behavioral Services. Inc	NE	Adult Mental Health Clinic/Center	$0	$5.4M
Hastings Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$238.6K	$2.2M
Retina Center Of Nebraska, P.C.	NE	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
South Central Behavioral Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Larry L Baker, Md, Dds, PC	NE	Oral & Maxillofacial Surgery (D.M.D.)	$0	$1.2M
Obstetricians & Gynecologists, P.C.	NE	Obstetrics & Gynecology Physician	$0	$1.1M
Family Medical Center Of Hastings	NE	Family Medicine Physician	$0	$1.1M

The Mary Lanning Memorial Hospital Association — Billing Profile & Reimbursement Data

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The Mary Lanning Memorial Hospital Association — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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