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.

Houses Of Hope Of Ne Inc (NPI 1639204324)

Field	Value
Entity Type	Organization
Organization	Houses Of Hope Of Ne Inc
Address	1100 Military Avenue
City	Lincoln
State	NE
ZIP	68508
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file and total Medicaid revenue is $4.2M, so Medicaid accounts for the entirety of reported lifetime public-payer revenue. The absence of Medicare claims means analyses of Medicare utilization or dual-eligibility billing patterns cannot be performed for this entity.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, H0018, represents $4.2M or 99.6% of Medicaid revenue. That concentration indicates the provider’s business model and revenue risk are tightly tied to the per‑diem residential treatment code.

The provider’s taxonomy (Substance Abuse Rehabilitation Facility) and the dominance of H0018 (H0018 – Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem) together indicate the operation is primarily a short‑term residential substance‑use treatment program billing on a per‑diem basis. This code mix suggests bed‑based treatment is the core service line rather than outpatient procedural care.

Operational metrics for the dominant code show scale and pricing: H0018 had 2K claims with an average paid per claim of $2163, producing $4.2M in revenue. In-state competitive placement for this code is mid‑tier: it ranks #6 of 17 providers in Nebraska (69th percentile; described as typical, unremarkable volume for this code), suggesting steady but not dominant market presence in residential per‑diem services.

Ancillary peer/self‑help services are present but economically minor: H0038 (Self‑help/peer services, per 15 minutes) generated 763 claims at an average paid per claim of $25 for $19.1K in revenue, representing 0.4% of Medicaid revenue. H0038 ranks #12 of 20 in-state (42th percentile; typical, unremarkable volume), indicating peer services are a modest complement to the core residential offering rather than a significant separate revenue stream.

Competitive standing across Medicaid suggests a modest, service‑line specialist rather than a statewide leader: the facility is a mid‑ranking provider for its primary residential code (69th percentile) and lower for peer services, which points to a focused operator of residential treatment beds with unremarkable volume relative to in‑state peers. There is no Medicare volume to compare nationally.

Given the revenue concentration in H0018 and the per‑diem nature of that code, payer reviews, utilization monitoring, and contracting negotiations for this provider are most likely to be materially impacted by residential bed capacity, length‑of‑stay patterns, and per‑diem rates rather than discrete procedure billing. The very small share of revenue from H0038 suggests peer support billing will have limited impact on overall spend.

The provider has an established operational tenure: NPI enumeration date 2007-02-22 (~19 years ago). This long enumeration supports that the observed Medicaid billing pattern is likely stable over time rather than a newly emergent billing profile, which is relevant when assessing historical utilization and market positioning.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,950	$2,160	$4.2M
H0038	Self‑help/peer services, per 15 minutes	760	$30	$19.1K

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

Houses Of Hope Of Ne Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	6	20	1,430	$580	$2.6M
H0038	Self‑help/peer services, per 15 minutes	12	20	1,050	$40	$72.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Houses Of Hope Of Nebraska, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Lancaster	NE	Psychiatry Physician	$0	$4.4M
The Bridge Behavioral Health, Inc.	NE	Mental Illness Community Based Residential Treatment Facility	$0	$3.3M
Bright Smile Dental	NE	Dentist	$0	$3.2M
Turningpoint Psychotherapy, P.C.	NE	Mental Health Counselor	$0	$434.6K
Bloom Counseling	NE	Mental Health Counselor	$0	$418.5K
Parallels, Inc	NE	Cognitive & Behavioral Psychologist	$0	$299.1K
A & E Eyecare Inc	NE	Optometrist	$0	$249K

Houses Of Hope Of Ne Inc — Billing Profile & Reimbursement Data

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Houses Of Hope 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