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.

Phelps Memorial Health Center (NPI 1629035936)

Phelps Memorial Health Center is a critical access hospital provider located in Holdrege, Nebraska. This profile covers 0 Medicare and 58 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	Phelps Memorial Health Center
Address	1215 Tibbals St
City	Holdrege
State	NE
ZIP	68949
Taxonomy	Critical Access Hospital
NPI Enumerated	April 28, 2006

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	2,130	$150	$311.6K
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.	1,240	$190	$233.7K
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…	5,120	$40	$220.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	5,010	$40	$215.5K
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.	540	$270	$148.5K
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.	3,960	$30	$122.7K
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…	4,610	$20	$92.2K
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…	530	$90	$45.4K
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,…	3,710	$10	$44.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	770	$60	$43.7K

Showing 1–10 of 58

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

Phelps Memorial Health Center — 2 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

58 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.	51	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.	27	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.	51	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.	36	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.	47	50	820	$160	$461.3K
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…	641	700	660	$70	$305.1K
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.	49	50	830	$90	$269K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	21	40	220	$120	$191.5K
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.	69	90	600	$90	$156.8K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	18	20	490	$150	$155.3K

Showing 1–10 of 58

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Haris Zahoor	TX	Medical Oncology Physician	$1.6M	$0
Irfan Vaziri	NE	Medical Oncology Physician	$1.4M	$0
Nathan Green	NE	Hematology & Oncology Physician	$1.1M	$0
Phelps Memorial Health Center	NE	Rural Health Clinic/Center	$0	$990.6K
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Harpaul Bajwa	NE	Interventional Cardiology Physician	$386.4K	$0
Jeffrey Berney	NE	Family Medicine Physician	$332K	$0
Rebecca Rundlett	NE	Cardiovascular Disease Physician	$326.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holdrege Medical Clinic, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Scott Ehresman	NE	Family Medicine Physician	$284.1K	$0
Shane Smith	NE	Family Medicine Physician	$281K	$0
Charles Christie	NE	Physician Assistant	$222K	$0
Mallory Haas	NE	Physician Assistant	$221.3K	$0
Kathryn Thelen	NE	Family Medicine Physician	$196.5K	$0
Brandon Smith	NE	Physical Therapist	$154.2K	$0
Walter Mccormick	NE	Optometrist	$68.3K	$0
Brett Hytrek	NE	Optometrist	$45.2K	$0
Katie Luthy	NE	Physician Assistant	$35.9K	$0

Phelps Memorial Health Center — Billing Profile & Reimbursement Data

Sign up for Phelps Memorial Health Center — Billing Profile & Reimbursement Data policy alerts

Phelps Memorial Health Center — Billing Profile & Reimbursement Data

Sign up for Phelps Memorial Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References