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.

Alegent Health Bergan Mercy Health System (NPI 1508941097)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alegent Health Bergan Mercy Health System
Address	7500 Mercy Rd
City	Omaha
State	NE
ZIP	68124
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$45.8M
Medicare	$0

ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM reports no Medicare billing on file and $45.8M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in the available data. The lack of Medicare claims suggests analyses of commercial/Medicare mix or Medicare-driven service-lines will not be supported by this dataset and Medicaid dominates any payer-based revenue conclusions.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 49.6% of the provider's total Medicaid revenue, indicating nearly half of Medicaid dollars are driven by a very small set of services. Those top drivers are emergency-department E/M codes (99283, 99284, 99285), which points to a narrow set of high-volume acute-care activities underpinning a large share of Medicaid income.

The code mix strongly indicates this facility operates as a high-volume emergency and acute-care hospital: 99283 ($8.4M, 23.7% of Medicaid revenue), 99284 ($6.9M, 19.5%), and 99285 ($2.2M, 6.3%) are the top revenue generators. These E/M codes together with G0378 (hospital observation service, per hour; 6.3K claims, $58 avg paid/claim, $364K) and high-volume IV/infusion codes (96361, 96365, 96366, 96360) suggest steady ED throughput plus short-stay observation and inpatient/infusion services consistent with an acute care hospital operating substantial emergency and observation capacity.

Competitive standing within Nebraska is pronounced for several codes: 99283 ranks #1 of 139 providers in-state (100th percentile; extreme outlier), 99284 ranks #5 of 112 (96th percentile; notably above typical state volume), and 99285 ranks #7 of 78 (92th percentile). The provider also ranks #1 for multiple lab/COVID-related codes (U0004, U0005, 87801 and 0241U all listed at or near 100th percentile), signaling market leadership in high-throughput infectious disease testing during the reporting period.

Laboratory and diagnostic testing contribute meaningfully beyond ED E/M work: U0004 (25.6K claims, $76 avg, $1.9M, ranks #1 of 17), 87801 (26.7K claims, $41 avg, $1.1M, ranks #1 of 15), U0005 (21.6K claims, $21 avg, $453.7K, ranks #1 of 23), and PLA/respiratory panels such as 0202U (1.3K claims, $250 avg, $317.8K) show the provider is a high-volume site for both molecular and proprietary respiratory tests. This profile is consistent with a hospital that absorbed a large share of regional infectious disease testing demand (COVID-era or otherwise) and captured associated Medicaid revenue.

Imaging and procedural services are also prominent but less dominant: high-volume CT and radiology codes such as 74177 (7.5K claims, $229 avg, $1.7M, 90th percentile), 70450 (6.3K claims, $185 avg, $1.2M, 88th percentile), and 71275 (1.9K claims, $243 avg, $464.4K, 88th percentile) indicate substantial diagnostic imaging throughput that supports ED and inpatient workups. Endoscopy (43239) and cardiac imaging (93306) appear at moderate volumes, which fits a full-service acute-care hospital rather than a specialty outpatient clinic.

Rehab and ancillary services show meaningful Medicaid utilization: therapeutic exercise 97110 (23.8K claims, $65 avg, $1.5M, 98th percentile) and therapeutic activities 97530 (11.8K claims, $28 avg, $331K, 91th percentile) indicate active physical/occupational therapy programs billed to Medicaid. Coupled with high counts for basic lab panels (80053, 105.8K claims; 85025, 105.1K claims) this suggests broad ancillary services supporting both outpatient and inpatient care pathways.

The provider has a long tenure in the dataset: NPI enumerated 2006-10-25 (~20 years ago), which supports interpreting the observed high volumes and state-level dominance as the output of an established acute-care organization rather than a recently opened facility. Analysts should treat the facility as a mature, Medicaid-focused acute care hospital with extreme state-level leadership for several ED and lab testing codes rather than expecting Medicare-driven volumes or national Medicare rankings.

Medicaid: Complete Services Breakdown

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

419 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	59,990	$140	$8.4M
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.	42,860	$160	$6.9M
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.	15,720	$140	$2.2M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	25,560	$80	$1.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	10,330	$190	$1.9M
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.	7,500	$230	$1.7M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	23,770	$70	$1.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	13,470	$90	$1.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	6,260	$190	$1.2M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	26,690	$40	$1.1M

Showing 1–10 of 419

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

Alegent Health Bergan Mercy Health System — 12 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

419 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.	5	110	770	$110	$774.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3	40	820	$260	$734.1K
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.	1	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.	7	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.	6	50	820	$160	$461.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	31	40	2,880	$40	$386.7K
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…	7	20	610	$280	$372.7K
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…	12	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…	8	20	270	$260	$342.4K
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…	281	700	660	$70	$305.1K

Showing 1–10 of 419

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Alegent Creighton Health	NE	Internal Medicine Physician	$0	$17.5M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$4.3M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$3M
Chi Health Clinic Physician Enterprise-anesthesia LLC	NE	Anesthesiology Physician	$0	$1.8M
Alegent Creighton Health	NE	Community/Retail Pharmacy	$0	$822.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Home Healthcare	NE	Home Health Agency	$0	$40M
Maxim Healthcare Services, Inc.	NE	Home Health Agency	$0	$29.7M
Lutheran Family Services Of Ne, Inc	NE	Mental Health Counselor	$0	$5.8M
Epn Of Nebraska LLC	NE	Emergency Medicine Physician	$0	$5.6M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLC	NE	Pediatric Dentistry	$0	$2.5M
Osc LLC	NE	Ambulatory Surgical Clinic/Center	$1.3M	$799.9K
Shoptikal LLC	NE	Eyewear Supplier	$0	$1.9M
Yungpo Su	NE	Hematology & Oncology Physician	$1.9M	$0
House Enterprises Inc	NE	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$1.8M

Alegent Health Bergan Mercy Health System — Billing Profile & Reimbursement Data

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Alegent Health Bergan Mercy Health System — 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