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.

Lutheran Family Services Of Ne, Inc (NPI 1639121726)

Field	Value
Entity Type	Organization
Organization	Lutheran Family Services Of Ne, Inc
Address	7929 W Center Rd
City	Omaha
State	NE
ZIP	68124
Taxonomy	Mental Health Counselor
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $5.8M in lifetime Medicaid revenue, so its footprint in the available datasets is effectively single-payer and Medicaid-centric. That payer concentration means performance and risk are closely tied to state Medicaid policy and reimbursement for behavioral health services.

Revenue is highly concentrated: the precomputed top three Medicaid codes (H2015, 90834, 90837) account for 75.5% of the provider's total Medicaid revenue. Those three codes break out as H2015 $2.1M (37.0%), 90834 $1.4M (24.1%), and 90837 $828.6K (14.4%), indicating most revenue comes from a very small set of services.

The service mix implied by the top codes points to a community-based behavioral health operation that emphasizes intensive psychosocial supports and psychotherapy. H2015 (comprehensive community support services, per 15 minutes) and high-volume psychotherapy codes 90834 (38–52 minute psychotherapy) and 90837 (53+ minute psychotherapy) suggest the provider delivers both wraparound community supports and sustained individual therapy as core offerings.

90834 is an extreme statistical outlier in the state: the provider reports $1.4M on 90834 and ranks #8 of 510 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). This position indicates the provider is one of the highest-volume Medicaid billers for standard individual psychotherapy in Nebraska and that long-session psychotherapy is a primary revenue driver.

H2015 generates the single largest Medicaid revenue dollar amount ($2.1M, 37.0% of Medicaid revenue) but its competitive standing is described as typical within a smaller provider subset: it ranks #5 of 26 in-state (84th percentile; typical, unremarkable volume for this code). In other words, H2015 is a dominant revenue line for this organization even though similar service volumes are not unusual among the relatively small group of certified community-support providers.

90837 is also a high-volume psychotherapy source ($828.6K, 14.4% of Medicaid revenue) and ranks #17 of 511 providers in-state (97th percentile; notably above typical state volume for this code). That placement reinforces that the provider delivers an above-typical amount of longer psychotherapy sessions relative to peers across the state.

The presence of significant E/M billing alongside psychotherapy—99214 $572K (9.9%) and 99213 $487.7K (8.5%)—plus peer-support billing H0038 $174K (3.0%) where the provider ranks #2 of 20 in-state (95th percentile; typical, unremarkable volume for this code) suggests an integrated outpatient model. Combined, these codes indicate the organization pairs psychotherapy and medical/clinical encounters with peer and community supports rather than operating solely as episodic therapy-only clinics.

The NPI was enumerated 2006-05-17 (~20 years ago), indicating the provider has an established operating history in the state. That tenure, together with the very high volume on key psychotherapy codes, points to an entrenched regional service provider whose financial performance will be particularly sensitive to changes in Medicaid behavioral health reimbursement and program rules.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	22,190	$100	$2.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	16,290	$90	$1.4M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,840	$140	$828.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8,410	$70	$572K
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…	10,380	$50	$487.7K
H0038	Self‑help/peer services, per 15 minutes	4,970	$40	$173.9K
H0001	Alcohol and/or drug assessment	350	$170	$57.9K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	410	$70	$29.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	120	$190	$23.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	210	$110	$22.1K

Showing 1–10 of 17

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

Lutheran Family Services Of Ne, Inc — 2 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	5	30	3,690	$100	$1.1M
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…	62	700	660	$70	$305.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	45	600	610	$70	$251.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8	510	450	$100	$168.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17	510	440	$140	$155.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	35	90	70	$200	$120.4K
H0038	Self‑help/peer services, per 15 minutes	2	20	1,050	$40	$72.9K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6	10	420	$70	$62K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	48	90	100	$80	$54.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	45	110	140	$100	$38.3K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lutheran Family Services Of Ne, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colette Wheeler	NE	Psychiatric/Mental Health Nurse Practitioner	$11.5K	$371K
Dean List	NE	Psychiatric/Mental Health Nurse Practitioner	$51.7K	$0
Zakaria Siddiqui	NE	Psychiatry Physician	$35.4K	$0

Nearby Providers

Other providers in the same ZIP code as Lutheran Family Services Of Ne, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Bergan Mercy Health System	NE	General Acute Care Hospital	$0	$45.8M
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Childrens Home Healthcare	NE	Home Health Agency	$0	$40M
Maxim Healthcare Services, Inc.	NE	Home Health Agency	$0	$29.7M
Epn Of Nebraska LLC	NE	Emergency Medicine Physician	$0	$5.6M
Ralph Hauke	NE	Hematology & Oncology Physician	$2.5M	$0
Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLC	NE	Pediatric Dentistry	$0	$2.5M
Osc LLC	NE	Ambulatory Surgical Clinic/Center	$1.3M	$799.9K
Shoptikal LLC	NE	Eyewear Supplier	$0	$1.9M
Yungpo Su	NE	Hematology & Oncology Physician	$1.9M	$0

Lutheran Family Services Of Ne, Inc — Billing Profile & Reimbursement Data

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Lutheran Family Services Of Ne, Inc — 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