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.

Franciscan Care Services Inc (NPI 1588673578)

Franciscan Care Services Inc is a critical access hospital provider located in West Point, Nebraska. This profile covers 0 Medicare and 41 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	Franciscan Care Services Inc
Address	430 North Monitor Street
City	West Point
State	NE
ZIP	68788
Taxonomy	Critical Access Hospital
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,840	$120	$456.6K
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.	490	$260	$126.2K
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.	1,670	$60	$101.6K
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.	690	$130	$90.2K
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.	290	$290	$82.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,350	$30	$75.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,210	$10	$42.1K
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…	680	$50	$33.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	680	$30	$23.1K
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…	120	$140	$17.2K

Showing 1–10 of 41

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

Franciscan Care Services Inc — 0 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

41 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.	75	110	770	$110	$774.3K
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.	85	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.	71	80	300	$120	$519.5K
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…	42	40	2,880	$40	$386.7K
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…	486	700	660	$70	$305.1K
G0378	Hospital observation service, per hour	29	30	950	$120	$276.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	28	40	1,710	$20	$231.5K
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.	63	130	650	$40	$179.6K
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.	81	90	600	$90	$156.8K
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…	46	210	660	$40	$122.6K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Care Services Inc	NE	Rural Health Clinic/Center	$0	$1.7M
Judson Davies	NE	Urology Physician	$380.6K	$0
Brett Fischer	NE	Sports Medicine (Orthopaedic Surgery) Physician	$255.9K	$0
John Haggstrom	NE	Diagnostic Radiology Physician	$224.6K	$0
Ronald Pritza	NE	Cardiovascular Disease Physician	$185.4K	$0
Eric Van De Graaff	NE	Cardiovascular Disease Physician	$172.4K	$0
Christopher Corder	NE	Urology Physician	$169.5K	$0
Kevin Reichmuth	NE	Pulmonary Disease Physician	$167.1K	$0
Joseph Thibodeau	NE	Cardiovascular Disease Physician	$165.8K	$0
Guneet Van De Graaff	NE	Cardiovascular Disease Physician	$145.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kralik Family Dental Center PC	NE	General Practice Dentistry	$0	$583.7K
Northeast Eyecare PC	NE	Optometrist	$0	$542K
Kralik Dakota Dental, P.C.	NE	Dental Clinic/Center	$0	$225.9K
Brandon Ridder	NE	Optometrist	$142.3K	$47.1K
Darren Huston	NE	Chiropractor	$116K	$0
Samuel Dostal	NE	Physician Assistant	$58K	$0
Emily Wietfeld	NE	Optometrist	$29.7K	$0

Franciscan Care Services Inc — Billing Profile & Reimbursement Data

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Franciscan Care Services Inc — 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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