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.

Madonna Rehabilitation Hospital (NPI 1558458091)

Madonna Rehabilitation Hospital is a rehabilitation hospital provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 23 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	Madonna Rehabilitation Hospital
Address	5401 South St
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Rehabilitation Hospital
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8,630	$80	$647K
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…	3,720	$70	$264.3K
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…	5,850	$40	$239.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	3,170	$50	$161.5K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	1,560	$50	$74.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	540	$80	$43K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	680	$60	$39.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	1,320	$30	$33K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	360	$60	$21.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	700	$10	$8.4K

Showing 1–10 of 23

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

Madonna Rehabilitation Hospital — 0 of 21 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	40	2,880	$40	$386.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	17	130	650	$40	$179.6K
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…	30	210	660	$40	$122.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	14	70	480	$30	$89.8K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	3	10	730	$50	$84K
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.	126	130	1,410	$10	$69.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	22	80	190	$30	$47.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	8	10	710	$30	$37.2K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	15	30	60	$60	$36K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	62	80	430	$10	$18K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffry Ailes	NE	Diagnostic Radiology Physician	$1.1M	$0
Curtis Burhoop	NE	Diagnostic Radiology Physician	$687.7K	$0
Jonathan Felt	NE	Diagnostic Radiology Physician	$527.9K	$0
Madonna Rehabilitation Hospital	NE	Physical Medicine & Rehabilitation Physician	$0	$434.4K
Mary Curtis	NE	Diagnostic Radiology Physician	$367.7K	$0
Ayodale Odulate	NE	Diagnostic Radiology Physician	$364.9K	$0
Kevin Gillespie	NE	Diagnostic Radiology Physician	$224.7K	$0
Michael Dewald	NE	Diagnostic Radiology Physician	$221.7K	$0
Gerold Stark	NE	Internal Medicine Physician	$214.8K	$0
Lewis Plachy	NE	Internal Medicine Physician	$210.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Integrated Behavioral Health Services	NE	Community/Behavioral Health Agency	$0	$16.3M
Nebraska Emergency Medicine PC	NE	Emergency Medicine Physician	$0	$14.9M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Eric Avery	NE	Hematology & Oncology Physician	$3.1M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0

Madonna Rehabilitation Hospital — Billing Profile & Reimbursement Data

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Madonna Rehabilitation Hospital — 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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