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.

North Platte Nebraska Hospital Corporation (NPI 1700855533)

Key Findings

Field	Value
Entity Type	Organization
Organization	North Platte Nebraska Hospital Corporation
Address	601 W Leota St
City	North Platte
State	NE
ZIP	69101
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

This provider is effectively a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is $16.4M, so the organization’s payer exposure is concentrated almost entirely in Medicaid rather than a mixed Medicare/Medicaid mix. That asymmetry makes Medicaid policy, rate changes, and state-level contracting particularly material to the hospital’s financial performance.

Revenue concentration is high at the code level: the top 3 Medicaid codes by revenue account for 46.9% of this provider’s total Medicaid revenue. Those top drivers are G0463 ($2.8M, 20.3%), 99283 ($2.4M, 17.4%), and 97110 ($1.3M, 9.2%), indicating that a relatively small set of outpatient/ED and rehab services generate nearly half of Medicaid receipts.

The code mix suggests a blended operation centered on high-volume outpatient clinic and emergency services with a strong rehabilitation component. G0463 has 43.1K claims and 99283 has 17K claims, showing heavy outpatient clinic and ED throughput; substantial utilization of 97110 (16.4K claims) and 97530 (7.4K claims, $717.9K) points to a meaningful physical/occupational therapy service line integrated with ambulatory care.

Competitive standing by code is mixed but shows pockets of market strength. G0463 ranks #2 of 36 in-state (97th percentile; typical, unremarkable volume), placing the provider among the larger reporters for hospital outpatient clinic visits statewide, while 97110 ranks #10 of 213 (96th percentile; notably above typical state volume), indicating an above-typical presence in therapeutic exercise/physical therapy.

Emergency department services account for multiple high-volume codes across acuity levels — 99282, 99283, 99284, and 99285 appear in the top code list — which, together with imaging and observation codes, signal ED-driven revenue and throughput. For example, 99283 ($2.4M, 17.4%) and 99284 ($624.8K, 4.5%) alongside observation G0378 ($302K, 2.2%) and CT codes 74177 ($635K, 4.5%) and 70450 ($356.9K, 2.5%) point to a clinical footprint that supports diagnostic imaging and short-term observation care tied to the ED.

The provider reports notable utilization of IV infusion and procedural administration codes, consistent with inpatient/ED treatment intensity and infusion therapy lines. High-revenue entries include 96361 ($571.5K, 4.1%), 96365 ($468.6K, 3.3%), and 96360 ($163.5K, 1.2%), and very large claim counts for push/infusion codes such as 96374 (6.1K claims), indicating frequent parenteral medication and hydration services forming a material portion of Medicaid activity.

Testing and respiratory diagnostics are also visible and in some cases above-typical statewide volume, suggesting the hospital conducted high relative volumes of infectious disease testing during the observation window. Specifically, 87635 ($114.1K, 0.8%) ranks #4 of 104 in-state (97th percentile; notably above typical state volume) and U0004 ($120.5K, 0.9%) ranks #4 of 17 (81st percentile; typical, unremarkable volume), showing elevated SARS–CoV–2 testing and related lab activity versus many peers.

The provider is long-tenured on the NPI file (enumerated 2006-03-15, ~20 years ago), which, combined with the service mix and rank distribution, suggests a stable community hospital operating a high-throughput outpatient/ED hub with significant therapy and infusion services. While it is a leading reporter for several specific codes statewide, many other codes sit in mid-to-upper typical percentiles, indicating the hospital is a strong regional player in certain lines rather than a universal statewide dominator across all service categories.

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	43,130	$70	$2.8M
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.	16,950	$140	$2.4M
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…	16,410	$80	$1.3M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,400	$100	$717.9K
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…	7,560	$90	$687.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	7,940	$90	$682.8K
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.	1,760	$360	$635K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,490	$140	$632.5K
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.	5,300	$120	$624.8K
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.	2,350	$240	$571.5K

Showing 1–10 of 253

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

North Platte Nebraska Hospital Corporation — 3 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17	20	460	$1,260	$1.8M
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.	30	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.	13	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.	14	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.	29	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.	17	50	820	$160	$461.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	14	40	2,880	$40	$386.7K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	6	20	610	$280	$372.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	18	40	350	$170	$366.6K
J0585	Injection, onabotulinumtoxina, 1 unit	5	10	630	$380	$355.1K

Showing 1–10 of 253

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Platte Nebraska Hospital Corporation	NE	Medical Oncology Physician	$0	$9.5M
North Platte Nebraska Hospital Corporation	NE	Psychiatric Hospital Unit	$0	$1.3M
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0
Radiology Services, P.C.	NE	Diagnostic Radiology Physician	$0	$795.8K
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Kristen Burwick	NE	Ophthalmology Physician	$447.5K	$0
Pushkar Kanade	OH	Internal Medicine Physician	$392.4K	$0
Jean Thomsen	IA	Anatomic Pathology & Clinical Pathology Physician	$346.3K	$30.2K
Douglas Lake	IA	Diagnostic Radiology Physician	$350.2K	$0
James Haug	CO	Diagnostic Radiology Physician	$326.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Priority Medical Transport LLC	NE	Land Ambulance	$1.4M	$2.3M
Child And Family Therapy Institute Of Nebraska LLC	NE	Mental Health Counselor	$0	$1.3M
Midlands Family Medicine	NE	Family Medicine Physician	$0	$1.3M
North Platte Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.1M	$5.7K
Beacon Of Hope Counseling Center LLC	NE	Mental Health Counselor	$0	$1.1M
Pathology Services, P.C.	NE	Clinical Pathology/Laboratory Medicine Physician	$621.3K	$424.3K
City Of North Platte	NE	Land Ambulance	$542.6K	$405.9K
Rcg North Platte, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$878.4K
Complete Family Medicine L.L.C.	NE	Family Medicine Physician	$0	$845.1K
Inner Reflections Counseling Center	NE	Mental Health Counselor	$0	$704.8K

North Platte Nebraska Hospital Corporation — Billing Profile & Reimbursement Data

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North Platte Nebraska Hospital Corporation — 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