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.

Bellevue Medical Center LLC (NPI 1609007525)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bellevue Medical Center LLC
Address	2500 Bellevue Medical Center Dr
City	Bellevue
State	NE
ZIP	68123
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 28, 2009

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Payer mix is effectively single‑payer Medicaid: this provider reports no Medicare revenue on file and $7.2M in lifetime Medicaid revenue, so all billed institutional activity in the dataset is concentrated in Medicaid rather than split across Medicare and Medicaid. That concentration means analyses of utilization, case mix, and financial performance should be interpreted in the context of Medicaid reimbursement and local managed‑care arrangements rather than Medicare benchmarks.

Revenue concentration is high among a small set of emergency and infusion codes: the precomputed top‑3 Medicaid codes account for 50.3% of this provider's total Medicaid revenue, with 99284 contributing $1.6M (24.2%), 96361 contributing $988.6K (15.0%), and 99283 contributing $730.2K (11.1%). This one‑half revenue concentration in three codes indicates reliance on a narrow set of services for the majority of Medicaid dollars.

The code mix points to an ED‑centric operation: 99284 (moderate MDM ED visit), 99283 (low MDM ED visit), plus other ED levels 99282 and 99285 appear among top codes, collectively signaling that emergency department evaluation and management visits are the core service line driving revenue. The high claim volumes reported for these E/M codes (e.g., 13.7K claims for 99284 and 7.5K for 99283) are consistent with a hospital that functions as a community emergency access point.

Infusion and dehydration treatment are a meaningful secondary service line: 96361 (IV fluids for each additional hour) is the second highest revenue driver with $988.6K and 4.3K claims (15.0% of Medicaid revenue) and ranks #7 of 37 providers in-state (83th percentile; typical, unremarkable volume). Additional infusion/IV codes such as 96360, 96365, and 96366 also appear on the top list, underscoring recurring use of IV therapy and related nursing/infusion resources.

Imaging and diagnostics contribute materially but are not dominant: CT abdomen/pelvis with contrast 74177 ($431.8K, 6.5%) and CT head 70450 ($323.4K, 4.9%) are notable revenue contributors, while CT thorax 71260 and chest x‑ray 71046 appear lower on the list. The presence of multiple CT and radiology CPTs supports an on‑site imaging capability aligned with ED throughput rather than a radiology‑driven outpatient center.

Laboratory testing shows targeted high‑value and high‑volume elements: proprietary respiratory panel 0202U is a top diagnostic revenue source with $628.9K (9.5%) and ranks #4 of 17 in-state (81th percentile; typical, unremarkable volume), while multiplex molecular tests like 87636 and U0004 also appear. Routine lab panels and CBCs (80053 and 85025) have very high claim counts (16.2K and 16.5K claims respectively) and high state percentiles (80053 at 91th and 85025 at 90th percentile) but contribute modest revenue individually because of low unit payments.

Competitive standing is broadly modest within the state: for the top revenue codes this provider typically sits in mid‑to‑upper percentiles (for example, 99284 at the 86th percentile, 96361 at the 83th percentile, and 99283 at the 79th percentile) and is described in the source as “typical, unremarkable volume” for many entries. These rankings suggest Bellevue Medical Center LLC is an established regional participant with consistent service volumes, but it is not a statewide dominant outlier for the majority of its top codes.

NPI tenure indicates an established facility: the provider's NPI was enumerated on 2009-07-28 (~17 years ago), which supports interpreting these Medicaid billing patterns as coming from a long‑standing inpatient/acute hospital operation rather than a newly opened facility experiencing transient billing shifts. This longevity reinforces that the ED, infusion, imaging, and lab patterns likely reflect stable service lines rather than short‑term anomalies.

Medicaid: Complete Services Breakdown

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

147 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.	13,660	$120	$1.6M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4,260	$230	$988.6K
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.	7,530	$100	$730.2K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	2,240	$280	$628.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,680	$260	$431.8K
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.	3,720	$100	$378.9K
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.	3,160	$110	$338.4K
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.	1,700	$190	$323.4K
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…	4,350	$70	$296K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	550	$200	$107.3K

Showing 1–10 of 147

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

Bellevue Medical Center LLC — 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

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	13	20	460	$1,260	$1.8M
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.	16	110	770	$110	$774.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7	40	820	$260	$734.1K
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.	30	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.	17	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	20	50	820	$160	$461.3K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	4	20	610	$280	$372.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	36	40	350	$170	$366.6K
G0378	Hospital observation service, per hour	17	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.	18	50	830	$90	$269K

Showing 1–10 of 147

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellevue Primary Healthcare PC	NE	Family Medicine Physician	$0	$1.5M
Angeli Thakker	NE	Pediatric Dentistry	$0	$888.7K
May Medical, Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$795.7K
Shoptikal LLC	NE	Eyewear Supplier	$0	$668.2K
Michelle Hinze	NE	Foot & Ankle Surgery Podiatrist	$538.3K	$0
Schlueter Optometric Corporation	NE	Optometrist	$0	$450.3K
John Cimino	NE	Cardiovascular Disease Physician	$247.6K	$0
Urban Eyes PC	NE	Optometrist	$0	$246.7K
John Harris	NE	Internal Medicine Physician	$214.5K	$0
Your Choice Counseling, LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$214.1K

Bellevue Medical Center LLC — 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

Nearby Providers

Frequently Asked Questions

References