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NPI 1639601826 · Omaha, NE · Substance Use Disorder Rehabilitation Clinic/Center
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Baart Community Healthcare is a substance use disorder rehabilitation clinic/center provider located in Omaha, Nebraska. This profile covers 1 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Baart Community Healthcare |
| Address | 1941 S 42nd St |
| City | Omaha |
| State | NE |
| ZIP | 68105 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | March 28, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.1M |
| Medicare | $89.9K |
Service-line profile: Billing is concentrated in opioid treatment program services consistent with a substance use disorder rehabilitation clinic focused on methadone maintenance. Medicare and Medicaid top codes are dominated by G2067 (medication assisted treatment, methadone weekly bundle) and related OTP codes for take-home supplies, counseling, group/individual therapy and toxicology, indicating day-to-day operations are centered on methadone dispensing, counseling and monitoring rather than broad ambulatory medical services.
Medicaid revenue concentration and payer mix: Medicaid dominates this provider’s public-payer mix with $4.1M in lifetime Medicaid revenue versus $89.9K in lifetime Medicare revenue, making the organization effectively Medicaid-driven at scale. At the Medicaid level the top 3 codes account for 99.9% of total Medicaid revenue, and G2067 alone represents $4M and 96.5% of Medicaid revenue, signaling extreme concentration in a single service line within Medicaid.
Medicare revenue concentration: The provider’s Medicare billing is almost entirely composed of a single code family — the top 3 Medicare codes account for 100.0% of Medicare revenue, and G2067 alone produced $89.8K across 401 claims with an average paid/claim of $224. This indicates the provider’s Medicare footprint is narrowly focused on OTP weekly bundles rather than a diversified set of Medicare services.
Competitive standing — Medicare: On Medicare G2067 the provider ranks #648 of 830 providers nationally (22th percentile), characterized in the source as "typical, unremarkable volume for this code," which positions the organization as a modest national participant for OTP billing rather than a high-volume national leader. The national rank suggests Medicare activity is present but not a distinguishing competitive strength.
Competitive standing — Medicaid (statewide): Within Nebraska the provider is the leading biller for G2067, ranking #1 of 3 providers in-state (100th percentile) with $4M in revenue and 24.1K claims, though that leadership is in the context of a very small statewide peer set. Other Medicaid OTP codes such as G2078 ($104.6K, rank #2 of 3) and G2074 ($35.7K, rank #2 of 2) show meaningful secondary billing streams but do not materially dilute the dominant contribution from G2067.
Statistical standing of volumes: Across reported codes the data labels activity as typical or unremarkable rather than extreme — Medicare G2067 is described as "typical, unremarkable volume for this code," and Medicaid G2067 is also described as "typical, unremarkable volume for this code" despite being the top in-state biller. There are no labels indicating statistical outlier status in the provided code-level notes, so volumes should be interpreted as within expected operational ranges for OTP providers.
Tenure and operational continuity: The provider’s NPI was enumerated on 2017-03-28 (~9 years ago), indicating multiple years of claims history and likely operational continuity sufficient to establish the concentrated billing pattern observed across both payers. This tenure supports the interpretation that the concentrated OTP billing mix reflects an ongoing business model rather than a short-term or anomalous episode.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 400 | $220 | $89.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 1 | 10 | 350 | $220 | $78.1K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 24,140 | $170 | $4M |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 2,610 | $40 | $104.6K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 310 | $110 | $35.7K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 290 | $20 | $6K |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1 | 10 | 12,130 | $160 | $2.5M |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 2 | 10 | 2,610 | $40 | $88.1K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 2 | 10 | 350 | $120 | $43.3K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 2 | 10 | 290 | $30 | $9.5K |
Other providers in the same ZIP code as Baart Community Healthcare, ranked by combined Medicare and Medicaid revenue.
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