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.

Nebraska Emergency Medicine PC (NPI 1669576831)

Field	Value
Entity Type	Organization
Organization	Nebraska Emergency Medicine PC
Address	1600 South 48th Street
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Key Findings

NEBRASKA EMERGENCY MEDICINE PC reports $14.9M in lifetime Medicaid revenue and has no Medicare billing on file, making Medicaid effectively the sole payer in this data set for the practice. The absence of Medicare activity means analyses of Medicare-market positioning are not possible from these records and the provider’s financial exposure is concentrated in Medicaid.

Revenue is highly concentrated in a narrow set of emergency department E/M services: the top three Medicaid codes (99285, 99284, 99283) together account for 99.1% of this provider’s total Medicaid revenue. Individually those codes represent 44.1%, 39.6%, and 15.4% of Medicaid revenue respectively, indicating the business is overwhelmingly driven by standard ED evaluation-and-management visits across high, moderate, and low acuity.

The code mix (99285, 99284, 99283) strongly indicates this entity operates as a high-volume emergency medicine practice focused on ED throughput and acute care visits rather than specialty procedures or longitudinal office-based care. High counts for E/M codes (e.g., 66K claims for 99285 and 76.8K claims for 99284) combined with modest ancillary-code revenue (e.g., 93042 at $78.6K, 99291 at $59.4K) point to an ED-centric service line with limited revenue from critical-care or diagnostic interpretation relative to visit volume.

Competitive standing in-state is dominant for high-acuity ED care: 99285 ranks #1 of 78 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and 99284 ranks #2 of 112 providers (99th percentile; extreme outlier). Even 99283 is an outlier, ranking #4 of 139 providers in-state (98th percentile; extreme outlier), which collectively signals this provider is a major statewide provider of Medicaid-funded emergency visits by volume.

Although the top three E/M codes drive nearly all revenue, some ancillary codes are present at small scale: 93042 accounts for $78.6K (0.5% of Medicaid revenue) and ranks #1 of 2 providers in-state (100th percentile) but is described as typical, unremarkable volume; 99291 contributes $59.4K (0.4% of Medicaid revenue) and ranks #5 of 15 providers (71th percentile; typical, unremarkable volume). These smaller revenue streams do not materially diversify the provider’s Medicaid revenue base.

The provider’s billing profile shows concentration risk: with 99.1% of Medicaid revenue coming from three ED E/M codes, changes to Medicaid reimbursement policy, ED utilization patterns, or coding guidance for these specific codes could have outsized impact on revenue. This concentration suggests payer negotiations and utilization-management trends around ED visits are especially relevant to financial stability.

NPI enumeration date is 2006-09-11 (~20 years ago), indicating a long-tenured presence in the market. That tenure combined with extreme-volume rankings for core ED codes suggests an established operational footprint in the Lincoln, NE market and likely entrenched referral or coverage arrangements for emergency care.

Process and quality-measure codes with negligible paid revenue are present in the claims mix (e.g., G8427 and G9744 show $0 paid and 0.0% of Medicaid revenue), indicating documentation or measure attestation activity is being recorded but does not contribute to revenue. These entries reflect standard quality-reporting behavior and do not offset the dominant revenue concentration in ED E/M services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	65,970	$100	$6.6M
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.	76,810	$80	$5.9M
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.	42,580	$50	$2.3M
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	11,230	$10	$78.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	610	$100	$59.4K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	970	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	190	$0	$0

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

Nebraska Emergency Medicine PC — 4 of 5 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

7 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.	2	110	770	$110	$774.3K
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.	4	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.	1	80	300	$120	$519.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5	20	230	$110	$58K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	5,660	$10	$38.2K
G9744	Patient not eligible due to active diagnosis of hypertension	2	10	190	$1	$20
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	11	30	350	$1	$1

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nebraska Emergency Medicine PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maureen D'angelo	NE	Emergency Medicine Physician	$69K	$103.6K
Justin Adkins	OH	Emergency Medicine Physician	$82.4K	$0
Noah Bernhardson	MO	Emergency Medicine Physician	$75.6K	$0
Andrew Klutman	CO	Emergency Medicine Physician	$75.4K	$0
Scott Schroeder	NE	Acute Care Nurse Practitioner	$74.7K	$0
Shawn Wade	NE	Emergency Medicine Physician	$73.5K	$0
Anthony Bonin	MO	Emergency Medical Services (Emergency Medicine) Physician	$72.6K	$0
Brent Bunz	NE	Emergency Medicine Physician	$71.8K	$0
John Bonta	NE	Emergency Medicine Physician	$71.3K	$0
Christopher Christensen	NE	Emergency Medicine Physician	$69.8K	$0

Nearby Providers

Other providers in the same ZIP code as Nebraska Emergency Medicine PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Integrated Behavioral Health Services	NE	Community/Behavioral Health Agency	$0	$16.3M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Eric Avery	NE	Hematology & Oncology Physician	$3.1M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0
Pathology Medical Services PC	NE	Anatomic Pathology & Clinical Pathology Physician	$0	$2.1M

Nebraska Emergency Medicine PC — Billing Profile & Reimbursement Data

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Nebraska Emergency Medicine PC — 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