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.

Alegent Creighton Health (NPI 1649355132)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alegent Creighton Health
Address	16901 Lakeside Hills Ct
City	Omaha
State	NE
ZIP	68130
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

This provider has no Medicare billing on file and is effectively a single-payer (Medicaid) operation in the available data: Total Medicaid revenue is $4.3M while Medicare revenue is listed as none (no Medicare billing on file). Analysts should treat competitive comparisons and service-line conclusions as Medicaid-focused rather than mixed-payer.

Revenue concentration is high in emergency-department evaluation & management codes: the precomputed top-3 Medicaid codes drive 47.7% of total Medicaid revenue, with 99284 contributing $847.3K (21.3%), 99283 contributing $636.8K (16.0%), and 99285 contributing $411.4K (10.3%). This concentration indicates that almost half of Medicaid dollars flow from ED E/M visits.

The code mix points to a hospital ED with significant acute-care throughput and ancillary inpatient/ED services: high-revenue E/M codes 99284, 99283, and 99285 are complemented by infusion and dehydration treatments (96361, 96365, 96375/96374), advanced imaging (74177, 70450, 71275), and observation hours (G0378). Together these codes suggest the organization manages moderate-to-high complexity ED cases with on-site imaging and infusion capabilities rather than primarily elective or ambulatory-only services.

Competitive standing within the state is consistent but not dominant for the provider’s highest-revenue Medicaid codes: 99284 ranks #28 of 112 providers in-state (76th percentile) and 99285 ranks #19 of 78 (77th percentile), while 99283 ranks #37 of 139 (74th percentile). The data label for these codes is "typical, unremarkable volume for this code," indicating above-median volume but not market-leading dominance.

Several supportive services show meaningful but not outsized share of revenue: 96361 ($398.4K, 10.0% of Medicaid revenue) ranks #11 of 37 providers in-state (72th percentile) and CT imaging 74177 ($323.2K, 8.1%) ranks #21 of 50 (59th percentile). These placements suggest robust ED-related ancillary utilization (infusions, CT) that aligns with the ED-driven revenue profile but again remain within typical peer ranges.

Service-mix includes substantial physical and rehabilitative therapy billing alongside acute care: 97110 appears with 5.4K claims generating $349K (8.8% of Medicaid revenue) and ranks #34 of 213 providers in-state (84th percentile). The relatively high percentile for 97110 indicates stronger-than-average PT activity among peers, implying the facility also supports rehabilitation workflows likely tied to inpatient or post-acute care pathways.

Across the listed Medicaid codes there are no indications of extreme statistical outliers; most high-revenue codes are described as "typical, unremarkable volume for this code" or placed in mid-to-upper percentiles rather than top deciles. A few lower-ranked procedures (for example, 43239 at the 21th percentile) reflect specialty services of limited scale, reinforcing a profile of broad ED and hospital capability without unusually concentrated niche lines.

Tenure is long enough to assess established practice patterns: the NPI was enumerated on 2006-10-25 (~20 years ago), so the provider has an extended operational history in the market. That longevity, combined with the Medicaid-only revenue picture, suggests stable local positioning focused on emergency and hospital-based services rather than recent new-market entry or short-term experimental lines of business.

Medicaid: Complete Services Breakdown

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

120 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.	5,970	$140	$847.3K
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.	5,220	$120	$636.8K
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.	3,000	$140	$411.4K
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.	2,590	$150	$398.4K
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…	5,370	$70	$349K
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.	1,320	$250	$323.2K
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.	1,440	$160	$225.1K
0241U	N/A	1,070	$90	$99.8K
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.	1,200	$80	$97.4K
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…	2,080	$40	$91.4K

Showing 1–10 of 120

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

Alegent Creighton Health — 0 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

120 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.	28	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.	11	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.	37	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.	19	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.	21	50	820	$160	$461.3K
G0378	Hospital observation service, per hour	14	30	950	$120	$276.4K
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.	20	50	830	$90	$269K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	23	30	280	$450	$266.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	12	20	800	$190	$241K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	15	20	940	$70	$219.6K

Showing 1–10 of 120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luke Nordquist	NE	Hematology & Oncology Physician	$3.7M	$0
Samuel Mehr	NE	Nuclear Medicine Physician	$2.5M	$0
Dean Arkfeld	NE	Ophthalmology Physician	$1.4M	$0
Omegavision PC	NE	Optometrist	$0	$1.4M
New Century Physicians Of Nebraska LLC	NE	Emergency Medicine Physician	$0	$917.9K
Heartland Family First Medical Clinic, LLC	NE	Pediatrics Physician	$0	$899.3K
Lakeside Ambulatory Surgical Center LLC	NE	Ambulatory Surgical Clinic/Center	$557.1K	$0
Omaha Anesthesia Associates LLC	NE	Anesthesiology Physician	$0	$517.9K
Children's Rehab - Occupational Therapy	NE	Pediatric Occupational Therapist	$0	$388.1K
Brandon Menke	NE	Ophthalmology Physician	$372.2K	$0

Alegent Creighton Health — Billing Profile & Reimbursement Data

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Alegent Creighton Health — 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

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
Alegent Creighton Health	NE	Internal Medicine Physician	$0	$17.5M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$3M
Alegent Creighton Health	NE	Community/Retail Pharmacy	$0	$822.1K
Alegent Creighton Health	NE	Rural Health Clinic/Center	$0	$347.1K