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.

Centerpointe, Inc (NPI 1588101828)

Field	Value
Entity Type	Organization
Organization	Centerpointe, Inc
Address	1490 N 16th St
City	Omaha
State	NE
ZIP	68102
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	January 25, 2017

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Key Findings

CENTERPOINTE, INC has no Medicare billing on file and reports $4.7M in lifetime Medicaid revenue, which makes it effectively a single-payer Medicaid operation in the available claims data. The absence of Medicare activity means analysts should treat Medicaid as the sole recorded public-reimbursement channel for this provider.

The provider's NPI was enumerated on 2017-01-25 (~9 years ago), indicating it has been active under the current registration for several years. This tenure is long enough to observe a stable pattern of Medicaid specialty-service billing but does not by itself indicate network scale or affiliations.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with a single code dominating the mix. H0018 alone represents 98.9% of Medicaid revenue, signaling heavy dependence on one service line for the provider's financial footprint.

Code-level details confirm an operation centered on short-term residential behavioral-health services: H0018 (short-term residential, without room and board, per diem) shows 1.9K claims at $2517 avg paid/claim for $4.7M revenue, making it the clear revenue driver. H0040 (assertive community treatment program, per diem) is present but minor with 44 claims, $1209 avg paid/claim, and $53.2K revenue, while 99213 appears on file with 64 claims but $0 avg paid/claim and $0 revenue, suggesting E/M claims are billed but not producing recorded Medicaid payments.

The provider’s competitive standing for its top service is modest within the state: H0018 ranks #7 of 17 in-state (63th percentile; typical, unremarkable volume), so CENTERPOINTE is a mid‑level participant rather than a dominant statewide provider for that code. H0040 ranks #4 of 4 (0th percentile; typical, unremarkable volume), which reflects a very small peer group and modest activity rather than leadership in assertive community treatment locally.

All three reported Medicaid codes are characterized in the data as "typical, unremarkable volume," and none are flagged as statistical outliers. This suggests the provider’s utilization and per‑claim payments for its reported codes fall within the normal range of state peers rather than being notably elevated or depressed.

Operationally, the near-total dependence on H0018 revenue means CENTERPOINTE’s financial performance is highly sensitive to changes in short-term residential behavioral-health demand or reimbursement for that per‑diem code. Analysts should monitor state policy, managed-care contract rates, and utilization trends for H0018 to assess potential revenue volatility for this provider.

The presence of 64 claims for 99213 that yielded $0 in recorded Medicaid payments is noteworthy from a billing-profiles perspective: it may reflect denied/adjusted E/M claims, billing for coordination of care that was not reimbursed, or reporting idiosyncrasies. Analysts interested in outpatient primary-care activity or care-coordination billing should flag these zero‑pay E/M entries for follow-up or claims‑level review.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,870	$2,520	$4.7M
H0040	Assertive community treatment program, per diem	40	$1,210	$53.2K
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…	60	$0	$0

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

Centerpointe, Inc — 0 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	4	10	4,640	$120	$4.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7	20	1,430	$580	$2.6M
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…	565	700	660	$70	$305.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerpointe, Inc.	NE	Substance Abuse Rehabilitation Facility	$0	$5.1M
Centerpointe, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.4M
Centerpointe, Inc.	NE	Addiction (Substance Use Disorder) Counselor	$0	$4.3M
Centerpointe, Inc.	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Centerpointe, Inc.	NE	Mental Illness Community Based Residential Treatment Facility	$0	$2.1M
Centerpointe, Inc	NE	Case Management Agency	$0	$1.7M
Rhonda Woodside	OR	Adult Health Nurse Practitioner	$19.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Omaha	NE	Land Ambulance	$2.2M	$10.5M
Intelliride, A Division Of Transdev	NE	Transportation Broker	$0	$5.9M
Arron Cleaver-mcwilliams	NE	Pediatric Dentistry	$0	$1.4M
Advanced Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$673.9K	$0
Neepa Modi	NE	General Practice Dentistry	$0	$612.9K
Step Ahead Aba LLC	NE	Community/Behavioral Health Agency	$0	$584.6K
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$571K
Summit Dental Health - Old Market LLC	NE	General Practice Dentistry	$0	$543.5K
Nebraska Dental Anesthesia, LLC	NE	Dental Anesthesiology	$0	$542.9K
Intelliride, A Division Of Transdev	NE	Transportation Broker	$0	$358.1K

Centerpointe, Inc — Billing Profile & Reimbursement Data

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Centerpointe, Inc — 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