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.

Hopespoke (NPI 1578603833)

Field	Value
Entity Type	Organization
Organization	Hopespoke
Address	904 Sumner
City	Lincoln
State	NE
ZIP	68502
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	5,450	$190	$1M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	950	$30	$27.7K

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

Hopespoke — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2020	Therapeutic behavioral services, per diem	1	10	2,840	$230	$640.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	12	50	260	$30	$30.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hopespoke, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopespoke	NE	Community/Behavioral Health Agency	$0	$3.9M
Hopespoke	NE	Community/Behavioral Health Agency	$0	$2.9M

Nearby Providers

Other providers in the same ZIP code as Hopespoke, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Physician Network	NE	Family Medicine Physician	$0	$12.2M
Centerpointe, Inc.	NE	Substance Abuse Rehabilitation Facility	$0	$5.1M
Inpatient Physician Associates, LLC	NE	Internal Medicine Physician	$0	$2.2M
Genesis Psychiatric Group, LLC	NE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.9M
Southwest Lincoln Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.7M	$114.7K
Centerpointe, Inc	NE	Case Management Agency	$0	$1.7M
Centerpointe, Inc.	NE	Case Management Agency	$0	$1.4M
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$1.3M
Travis Bangert Dc PC	NE	Chiropractor	$0	$1M
Physical Therapy Solutions, PC	NE	Physical Therapy Clinic/Center	$0	$962.6K

Hopespoke — Billing Profile & Reimbursement Data

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Hopespoke — Billing Profile & Reimbursement Data

Sign up for Hopespoke — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References