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.

Complete Care Family Practice (NPI 1679079669)

Complete Care Family Practice is a family medicine physician provider located in Scottsbluff, Nebraska. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Complete Care Family Practice
Address	713 1/2 W 27th St
City	Scottsbluff
State	NE
ZIP	69361
Taxonomy	Family Medicine Physician
NPI Enumerated	March 30, 2018

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	19,340	$40	$773.6K
99203	The provider sees a new 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 provider…	1,210	$70	$82.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	580	$100	$56.3K
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…	830	$50	$44.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	370	$40	$15.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	250	$50	$11K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	110	$90	$9.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	500	$10	$5.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	50	$90	$4.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,220	$1	$3.7K

Showing 1–10 of 22

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

Complete Care Family Practice — 3 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	23	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…	263	600	610	$70	$251.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	57	70	230	$90	$222.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	36	70	100	$100	$100.9K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	13	10	70	$90	$81.3K
99203	The provider sees a new 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 provider…	28	190	130	$70	$48.5K
99204	The provider sees a new 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 provider…	112	130	130	$90	$43.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	110	70	$100	$43.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	41	100	240	$50	$28.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	133	270	1,170	$1	$16.8K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Medical Center	NE	General Acute Care Hospital	$0	$15.1M
Regional West Physicians Clinic	NE	Family Medicine Physician	$0	$9M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M
Regional West Medical Center	NE	Emergency Medicine Physician	$0	$1.7M
Med-trans Corporation	NE	Air Ambulance	$1.5M	$8.9K
Valley Ambulance Services, Inc	NE	Ambulance	$558K	$868.6K
Regional West Medical Center	NE	Home Health Agency	$0	$1.4M
Options In Psychology LLC	NE	Psychologist	$0	$1.2M
Webb Orthodontics, LLP	NE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Quick Care Medical Services Inc	NE	Urgent Care Clinic/Center	$0	$1.1M

Complete Care Family Practice — Billing Profile & Reimbursement Data

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Complete Care Family Practice — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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