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.

York General Hospital (NPI 1588764898)

York General Hospital is a critical access hospital provider located in York, Nebraska. This profile covers 0 Medicare and 59 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	York General Hospital
Address	2222 N Lincoln Ave
City	York
State	NE
ZIP	68467
Taxonomy	Critical Access Hospital
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	1,550	$240	$375.7K
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.	1,840	$180	$321.1K
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.	2,530	$120	$298.9K
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…	4,390	$50	$219.5K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	1,620	$120	$186K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,910	$20	$88.5K
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.	280	$310	$87.5K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	730	$90	$66.1K
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.	1,390	$50	$63.9K
J7030	Infusion, normal saline solution , 1000 cc	1,120	$60	$63.6K

Showing 1–10 of 59

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

York General Hospital — 1 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

59 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.	46	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.	53	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.	41	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…	39	40	2,880	$40	$386.7K
G0378	Hospital observation service, per hour	27	30	950	$120	$276.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	48	50	830	$90	$269K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29	40	1,710	$20	$231.5K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	17	20	940	$70	$219.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	46	50	1,140	$60	$200K
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.	50	130	650	$40	$179.6K

Showing 1–10 of 59

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Stacey Knox	NE	Hematology & Oncology Physician	$1.4M	$0
Nathan Green	NE	Hematology & Oncology Physician	$1.1M	$0
Sean Pietrini	NE	Vascular & Interventional Radiology Physician	$216K	$0
Joseph Erwin	NE	Family Medicine Physician	$145.3K	$0
John Allen	NE	Vascular & Interventional Radiology Physician	$133.8K	$0
Andrew Lepinski	NE	Urology Physician	$131.4K	$0
Todd Stuckey	NE	Family Medicine Physician	$88.6K	$0
Tyler Adam	NE	Obstetrics & Gynecology Physician	$55.9K	$0
Ye Ye	NE	Surgery Physician	$51.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York Medical Clinic, P.C.	NE	Family Medicine Physician	$0	$1.3M
Sullivan & Associates Family Dentistry, PC	NE	General Practice Dentistry	$0	$383K
Laura A Cole, PC	NE	Mental Health Counselor	$0	$360.1K
City Of York	NE	Ambulance	$218.4K	$43.7K
York Quick Clinic	NE	Multi-Specialty Clinic/Center	$0	$211.7K
Walgreen Co	NE	Pharmacy	$109.3K	$0
Labone LLC	NE	Clinical Medical Laboratory	$36K	$0
Madison Nutter	NE	Physician Assistant	$23.8K	$0
Julie Schelkopf	NE	Chiropractor	$18.6K	$0
Daniel Growney	NE	Surgery Physician	$4.2K	$0

York General Hospital — Billing Profile & Reimbursement Data

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York General 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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