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.

Elkhorn Valley Family Medicine, PC (NPI 1598767287)

Field	Value
Entity Type	Organization
Organization	Elkhorn Valley Family Medicine, PC
Address	304 E Douglas St
City	Oneill
State	NE
ZIP	68763
Taxonomy	Clinic/Center
NPI Enumerated	August 11, 2005

Payer Source	Total Paid
Medicaid	$419.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,700	$90	$321.6K
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,…	1,480	$50	$72.7K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	630	$30	$17.7K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	130	$20	$3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	140	$20	$2.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	$110	$1.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	40	$20	$670
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	10	$20	$230
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$1	$60

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

Elkhorn Valley Family Medicine, PC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	165	700	660	$70	$305.1K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	146	240	1,180	$30	$69.2K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	94	130	530	$30	$45.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	93	110	70	$100	$43.2K
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,…	26	250	140	$60	$29.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	200	210	110	$10	$19.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	75	130	200	$20	$13.3K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	112	140	180	$20	$12.6K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	92	120	190	$1	$3.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elkhorn Valley Family Medicine, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Lueninghoener	NE	Family Medicine Physician	$30.6K	$0

Nearby Providers

Other providers in the same ZIP code as Elkhorn Valley Family Medicine, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera St Anthonys Hospital	NE	Rural Health Clinic/Center	$0	$2.3M
Avera St Anthonys Hospital	NE	Critical Access Hospital	$0	$1.6M
Counseling & Enrichment Center, Inc	NE	Mental Health Counselor	$0	$766.2K
Heartland Counseling Services, Inc.	NE	Community/Behavioral Health Agency	$0	$295K
North Central District Health Department	NE	Public Health or Welfare Agency	$116.6K	$144K
Ally Counseling Services, LLC	NE	Adult Mental Health Clinic/Center	$0	$257.1K
Philip Gildersleeve	NE	Optometrist	$123.2K	$0
Wendell Sitz	NE	Chiropractor	$40.9K	$62.7K
Erin Neuheisel	NE	Physical Therapist	$44K	$0

Elkhorn Valley Family Medicine, PC — Billing Profile & Reimbursement Data

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Elkhorn Valley Family Medicine, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References