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.

Telecare Mental Health Services Of Nebraska, Inc (NPI 1679517684)

Field	Value
Entity Type	Organization
Organization	Telecare Mental Health Services Of Nebraska, Inc
Address	2231 Lincoln Rd
City	Bellevue
State	NE
ZIP	68005
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $6.4M in lifetime Medicaid revenue, making it effectively a Medicaid-only reporter in our dataset. There is no Medicare activity to benchmark against, so payer exposure and reimbursement risk are concentrated entirely on state Medicaid policy and payments.

Revenue is extremely concentrated: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with a single code, H2018, representing 99.9% of that total. That concentration indicates a highly focused service mix rather than a diversified set of billed services.

H2018 (Psychosocial rehabilitation services, per diem) drives virtually all clinical billing: 2.3K claims at $2831 avg paid/claim generating $6.4M (99.9% of Medicaid revenue). This pattern is consistent with the provider operating as a community-based residential treatment facility billing per-diem psychosocial rehabilitation rather than relying on procedure- or visit-based revenue streams.

Despite generating the bulk of revenue from H2018, the provider ranks #9 of 12 in-state (27th percentile) for this code and is described as having "typical, unremarkable volume for this code." In other words, its per-diem psychosocial revenue is material to the provider's book but modest compared with a small set of higher-volume in-state peers.

The remaining billed codes are ancillary and economically negligible: 99308 represents $5.4K (0.1% of Medicaid revenue) across 227 claims at $24 avg paid/claim and ranks #37 of 75 in-state (51st percentile), while 99307 represents $814 (0.0% of Medicaid revenue) across 74 claims at $11 avg paid/claim and ranks #16 of 34 (55th percentile). Both are labeled "typical, unremarkable volume," indicating nursing-facility E/M visits function as secondary, low-revenue activities.

The provider's NPI was enumerated on 2006-06-16 (~20 years ago), indicating a long-standing presence and sustained Medicaid engagement in the state. This tenure suggests operational experience with state Medicaid administration but does not mitigate the observed lack of payer diversification.

The operational and business implication of a single-payer, single-code revenue base is clear: reliance on H2018 (99.9% of Medicaid revenue) exposes the organization to concentrated reimbursement and policy risk. Any state-level changes to per-diem rates, H2018 coverage, or eligibility could materially affect revenue, and the negligible Medicare activity and small ancillary E/M billing offer limited immediate diversification options.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2018	Psychosocial rehabilitation services, per diem	2,250	$2,830	$6.4M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	230	$20	$5.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	70	$10	$810

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

Telecare Mental Health Services Of Nebraska, Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	9	10	12,100	$130	$2.6M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	37	80	210	$10	$18K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	16	30	70	$10	$2.1K

Nearby Providers

Other providers in the same ZIP code as Telecare Mental Health Services Of Nebraska, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$3.4M
Robert F. Colwell Jr, Dds, PC	NE	Dental Clinic/Center	$0	$3.2M
Summit Dental Health - Towne LLC	NE	General Practice Dentistry	$0	$1.6M
City Of Bellevue	NE	Land Ambulance	$507.9K	$588.4K
Pediatric Dental Group, PC	NE	Pediatric Dentistry	$0	$776.1K
Shopko Stores Operating Co. LLC	NE	Eyewear Supplier	$0	$465.8K
Hoogeveen Chiropractic Wellness Center, P.C.	NE	Chiropractor	$0	$462.5K
Chitrita Roy	NE	Pediatrics Physician	$0	$430.2K
Harlan Medical, LLC	NE	Urgent Care Clinic/Center	$0	$368.1K
Heartland Cataract & Laser Surgery Center, Inc.	NE	Ambulatory Surgical Clinic/Center	$352.5K	$0

Telecare Mental Health Services Of Nebraska, Inc — Billing Profile & Reimbursement Data

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Telecare Mental Health Services Of Nebraska, 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

Nearby Providers

Frequently Asked Questions

References