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.

Regional West Medical Center (NPI 1639101199)

Key Findings

Field	Value
Entity Type	Organization
Organization	Regional West Medical Center
Address	4021 Avenue B
City	Scottsbluff
State	NE
ZIP	69361
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 7, 2006
NPI Deactivated	April 11, 2012

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

REGIONAL WEST MEDICAL CENTER shows an effectively single‑payer billing profile: there is no Medicare billing on file while Medicaid revenue totals $15.1M, indicating the provider’s documented payor exposure in this dataset is concentrated in Medicaid. The NPI was enumerated on 2006-07-07 (~20 years ago), confirming long-standing operation in the market.

Revenue concentration is notable: the precomputed top three Medicaid billing codes account for 36.1% of the provider’s total Medicaid revenue. The individual top contributors are 99284 ($1.5M, 12.7%), 0202U ($1.4M, 12.4%), and 99283 ($1.3M, 11.0%), which together drive more than one‑third of reported Medicaid receipts.

The code mix indicates a hospital operating with a high emergency department throughput and a range of acute diagnostic services. High claim volumes for ED E/M codes 99284 (11K claims) and 99283 (9.1K claims), plus a nontrivial volume of high‑acuity visits 99285 (4.3K claims), point to ED‑centric revenue generation, and the descriptions imply a mix of low, moderate, and high medical decision making across encounters; these ED codes are reported at typical, unremarkable volume percentiles in‑state.

There is a strong laboratory and respiratory testing footprint: 0202U ranks #1 of 17 in‑state (100th percentile) and is described as notably above typical state volume, while 87633 ranks #2 of 20 (95th percentile). In addition, broad routine lab activity is evident — 80053 (CMP) and 85025 (CBC) both rank #5 in‑state at the 97th percentile and are flagged as notably above typical state volume — collectively this signals above‑average lab throughput, particularly for respiratory panels and basic chemistry/hematology.

Imaging and procedural services contribute meaningful Medicaid revenue, reflecting a full‑service acute care profile: 74177 (CT abdomen/pelvis with contrast) generated $820.1K (7.1%), 70450 (CT head without contrast) $475.3K (4.1%), and 43239 (upper endoscopic biopsy) $327.2K (2.8%). These lines — along with echocardiography 93306 and focused ultrasounds 76705 — suggest the hospital performs both emergency imaging and diagnostic/procedural workup on a regular basis.

Outpatient therapy and rehabilitation are material revenue drivers beyond acute care: physical/occupational therapy codes 97110 (9.6K claims, $462.1K, 4.0%) and 97530 (5.5K claims, $371.4K, 3.2%) rank at the 91st and 80th percentiles respectively, indicating a robust therapy service line with volumes above many in‑state peers. These volumes support a diversified revenue base that extends beyond ED and inpatient services into rehabilitative outpatient care.

Operational throughput is also reflected in observation, infusion, and transport activity: G0378 (hospital observation, per hour) has 2.4K claims and $236.5K revenue, multiple infusion administration codes (96361, 96365, 96366, 96360) together account for sizable shares of revenue, and A0425 (ground mileage) generated $190.1K. This mix points to sustained observation/infusion utilization and patient transfers or ambulance activity consistent with an acute care hospital handling both short stays and ongoing infusions.

Competitive standing is mixed by service line: REGIONAL WEST is a statewide leader for specific diagnostics (0202U at the 100th percentile and routine labs like 80053/85025 at the 97th percentile, described as notably above typical state volume), while many ED, imaging, and procedure codes fall into the 60th–90th percentile range and are characterized as typical, unremarkable volume for those codes. In sum, the provider appears to be a major regional provider for lab and certain diagnostic testing, with solid but not uniformly dominant market positions across ED, imaging, and therapy services.

Medicaid: Complete Services Breakdown

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

257 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.	10,950	$130	$1.5M
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…	5,430	$260	$1.4M
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.	9,080	$140	$1.3M
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.	1,890	$430	$820.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1,730	$430	$738.3K
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.	4,290	$160	$664.6K
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.	2,360	$270	$644K
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.	1,890	$250	$475.3K
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…	9,630	$50	$462.1K
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…	5,530	$80	$447.8K

Showing 1–10 of 257

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

Regional West Medical Center — 4 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

257 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	13	30	990	$180	$864.6K
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.	23	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.	12	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.	27	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.	15	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.	16	50	820	$160	$461.3K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	14	30	730	$110	$424.2K
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…	18	40	2,880	$40	$386.7K
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…	1	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…	16	40	350	$170	$366.6K

Showing 1–10 of 257

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Medical Center	NE	Emergency Medicine Physician	$0	$1.7M
Regional West Medical Center	NE	Home Health Agency	$0	$1.4M
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Eric Rodriguez	AZ	Diagnostic Radiology Physician	$406.8K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Regional West Medical Center	WY	Clinical Medical Laboratory	$256.1K	$62.6K
Mark Hartman	NE	Radiation Oncology Physician	$287.2K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Physicians Clinic	NE	Family Medicine Physician	$0	$9M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M
Med-trans Corporation	NE	Air Ambulance	$1.5M	$8.9K
Valley Ambulance Services, Inc	NE	Ambulance	$558K	$868.6K
Options In Psychology LLC	NE	Psychologist	$0	$1.2M
Webb Orthodontics, LLP	NE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Quick Care Medical Services Inc	NE	Urgent Care Clinic/Center	$0	$1.1M
Renal Treatment Centers West Inc	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Complete Care Family Practice	NE	Family Medicine Physician	$0	$1M
Lincare Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$794.1K

Regional West Medical Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References