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.

Community Alliance Rehabilitation Services (NPI 1578614988)

Field	Value
Entity Type	Organization
Organization	Community Alliance Rehabilitation Services
Address	7150 Arbor St
City	Omaha
State	NE
ZIP	68106
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 13, 2007

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric operation: there is no Medicare billing on file and reported lifetime Medicaid revenue is $29.4M, indicating near-exclusive dependence on Medicaid as the payer for its services. That payer concentration increases exposure to Medicaid policy and rate changes and suggests analyses should focus on Medicaid program rules and contract arrangements rather than Medicare dynamics.

Revenue is highly concentrated in a small set of service lines — the top three Medicaid codes (H0019, H0040, H2015) account for 75.4% of the provider's total Medicaid revenue. Specifically, H0019 generated $10.4M (35.5% of Medicaid revenue), H0040 generated $7.2M (24.5%), and H2015 generated $4.5M (15.4%), so contracting or utilization shifts for any of these codes would materially affect overall revenue.

The code mix signals an operational model built around residential and intensive community behavioral health services. H0019 is billed as long-term residential per diem (78.5K claims, $133 avg paid/claim, $10.4M revenue), H0040 is an assertive community treatment per diem (135.6K claims, $53 avg paid/claim, $7.2M), and H2015 is comprehensive community support billed per 15 minutes (48.5K claims, $93 avg paid/claim, $4.5M). Together these volumes and payment levels indicate programs that combine high per-diem residential capacity with high-frequency community-based supports.

Psychosocial rehabilitation is also a core service line alongside the top three: H2018 (psychosocial rehabilitation, per diem) generated $4.4M (15.1% of Medicaid revenue) on 63.3K claims with a $70 avg paid/claim, and H2017 (psychosocial rehabilitation, per 15 minutes) contributed $1.3M (4.6%). This distribution reflects a mix of day-rate and time-based rehabilitation services that supplement the provider's residential and assertive community treatment offerings.

Competitively, the provider is a leading in-state participant for several high-revenue codes. It ranks #1 of 6 statewide on H0019 (100th percentile; notably above typical state volume) and #2 of 26 on H2015 (96th percentile; notably above typical state volume), indicating market dominance for long-term residential and elevated standing for comprehensive community supports. H0040 is ranked #1 of 4 in-state (100th percentile) but is described as a typical, unremarkable volume for that code, suggesting the combination of fewer active providers and a standard program footprint rather than an outsized per-provider share in that specific modality.

Unit economics and utilization patterns drive revenue more through claim volume and per-diem billing than high-fee office visits. For example, H0019 and H0040 have large claim counts (78.5K and 135.6K respectively) and mid-range avg paid/claim ($133 and $53), whereas common office/therapy codes such as 99214 ($504.9K, 7.3K claims, 1.7% of Medicaid revenue), 90834 ($238.8K, 2.2K claims, 0.8%), and 90837 ($196.5K, 1.4K claims, 0.7%) together represent only a small fraction of total Medicaid revenue. This pattern confirms a business model that monetizes continuous/residential occupancy and frequent community contacts rather than episodic physician office encounters.

Clinical/encounter-level services beyond the dominant program codes are present but modest in revenue share, indicating integrated clinical support rather than primary revenue drivers. Examples include psychotherapy and psychiatric evaluation codes (90792 $168.2K, 90791 $62.7K) and standard E/M visits (99213 $114.7K, 99212 $33.6K), all characterized in the data as typical or unremarkable statewide volumes. These lines likely serve as ancillary clinical care within larger residential and community-based programs rather than standalone revenue centers.

The provider has a long tenure in the enrollment file (NPI enumerated 2007-01-13 (~19 years ago)), which, combined with concentrated Medicaid revenues and leadership positions on several in-state behavioral health codes, suggests an established regional operator whose performance and risk profile should be evaluated through the lens of Medicaid behavioral health program policy and utilization management.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	78,460	$130	$10.4M
H0040	Assertive community treatment program, per diem	135,630	$50	$7.2M
H2015	Comprehensive community support services, per 15 minutes	48,520	$90	$4.5M
H2018	Psychosocial rehabilitation services, per diem	63,310	$70	$4.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	41,970	$30	$1.3M
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…	7,320	$70	$504.9K
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…	2,170	$110	$238.8K
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…	1,360	$150	$196.5K
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…	850	$200	$168.2K
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…	2,940	$40	$114.7K

Showing 1–10 of 20

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

Community Alliance Rehabilitation Services — 5 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	10	2,070	$270	$4.4M
H0040	Assertive community treatment program, per diem	1	10	4,640	$120	$4.2M
H2018	Psychosocial rehabilitation services, per diem	1	10	12,100	$130	$2.6M
H2015	Comprehensive community support services, per 15 minutes	2	30	3,690	$100	$1.1M
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…	186	700	660	$70	$305.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	1	10	2,680	$30	$263.8K
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…	52	600	610	$70	$251.4K
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…	99	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…	116	510	440	$140	$155.7K
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…	13	90	70	$200	$120.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leslie Moore	NE	Family Nurse Practitioner	$19K	$0

Nearby Providers

Other providers in the same ZIP code as Community Alliance Rehabilitation Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Nebraska Board Of Regents	NE	Specialist	$0	$1.4M
Summit Dental Health - Center LLC	NE	General Practice Dentistry	$0	$1.3M
Think Aksarben, LLC	NE	Multi-Specialty Clinic/Center	$0	$1.2M
Z Family Practice, P.C.	NE	Family Medicine Physician	$0	$575.8K
Prime Home Care LLC	NE	Home Health Agency	$0	$513.2K
Harry Klein	NE	Rheumatology Physician	$462K	$0
Joseph Shehan	NE	Internal Medicine Physician	$460.1K	$0
Susan Scholer	NE	Internal Medicine Physician	$368.4K	$0
Kilborns Inc	NE	Community/Retail Pharmacy	$72.4K	$291.5K
Godfrey Chiropractic PC	NE	Chiropractor	$0	$224.5K

Community Alliance Rehabilitation Services — Billing Profile & Reimbursement Data

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Community Alliance Rehabilitation Services — 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