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.

Alivation Health, LLC (NPI 1710917448)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alivation Health, LLC
Address	8550 Cuthills Circle
City	Lincoln
State	NE
ZIP	68526
Taxonomy	Psychiatry Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

This provider is effectively single-payer Medicaid–focused: there is no Medicare billing on file and the practice reports $6.5M in total Medicaid revenue. That concentration means operational and reimbursement exposure is driven almost entirely by Medicaid policy and rates rather than a diversified payer mix.

Revenue is highly concentrated in a small set of outpatient evaluation/management and psychotherapy codes: the precomputed top 3 Medicaid codes account for 87.4% of this provider's total Medicaid revenue, led by 99214 ($4.3M revenue, 66.3%), followed by 99213 ($900.3K, 13.9%) and 90837 ($464.3K, 7.2%). This mix indicates the bulk of billing comes from routine established-patient visits and long psychotherapy sessions rather than a broad procedural portfolio.

99214 is the dominant revenue driver and an outsized contributor to statewide volume: the provider reported 66K claims for 99214 at $65 avg paid/claim generating $4.3M in revenue, and it ranks #6 of 596 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). Such high-volume 99214 activity is consistent with a high-throughput ambulatory psychiatry practice focused on frequent follow-up management.

The provider shows multiple statistical outliers in behavioral-health screening and counseling codes, suggesting integrated, standardized assessment and wellness services. Notably, 96127 has 9.2K claims for $165.5K revenue and ranks #1 of 72 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and 99406 appears with 3K claims, $24.3K revenue and ranks #1 of 12 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These patterns point to routine use of brief standardized assessments and tobacco cessation counseling in visit workflows.

There is evidence the practice has adopted remote physiologic monitoring (RPM) and telehealth capabilities as a revenue stream and care-management tool. Codes 99454 (2K claims, $64.5K revenue) and 99457 (2K claims, $44.3K revenue) both rank #1 of 5 providers in-state (100th percentile for 99454; 100th percentile and labeled 'typical, unremarkable' for 99457), 99453 (292 claims, $2.3K) ranks #1 of 2 (100th percentile), and Q3014 (168 claims, $1.8K) is also present — together these entries indicate systematic use of RPM and telehealth-originating-site billing alongside in-person care.

Psychotherapy is a meaningful secondary revenue stream: 90837 has 3.3K claims, $464.3K revenue (7.2% of Medicaid revenue) and ranks #40 of 511 providers in-state (92th percentile; typical, unremarkable volume). The combination of high-volume E/M (99214/99213) with substantive 90837 activity suggests a blended model of medication management plus long-format psychotherapy.

The provider also bills for diagnostic and procedure services that expand the clinical footprint beyond classic outpatient psychiatry. EEG-related codes 95954 (738 claims, $22.9K revenue) and 95957 (499 claims, $15.5K revenue) both rank #1 of 1 providers in-state (no peer comparison available), and 96372 shows 4.3K claims producing $25.9K revenue (ranks #9 of 132). These entries imply onsite diagnostic procedures and medication administration are available as part of the service mix.

This is an established entity with longevity in the dataset: the NPI enumerated on 2006-07-05 (~20 years ago). Combined with the concentrated Medicaid revenue base and the cluster of high-volume codes, the profile reads as a well‑entrenched ambulatory psychiatry provider with operational strengths in frequent follow-up care, routine brief assessments, and an early adoption of RPM/telehealth — but also concentrated exposure if Medicaid reimbursement or coding policy for its top codes changes.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,980	$70	$4.3M
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…	19,160	$50	$900.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,270	$140	$464.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,250	$220	$271K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	9,200	$20	$165.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	2,020	$30	$64.5K
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…	690	$80	$55.4K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	2,010	$20	$44.3K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	360	$110	$37.9K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	580	$50	$27.4K

Showing 1–10 of 38

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

Alivation Health, LLC — 7 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

38 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…	25	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…	6	600	610	$70	$251.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	321	510	450	$100	$168.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	40	510	440	$140	$155.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	29	60	390	$50	$121.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	9	90	70	$200	$120.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	33	90	100	$80	$54.7K
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…	107	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…	25	130	130	$90	$43.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	5	30	80	$110	$33.9K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walter Duffy	NE	Psychiatry Physician	$174.9K	$0
Jason Howe	NE	Physician Assistant	$40.6K	$0
Ashley Marreel	NE	Family Nurse Practitioner	$38.6K	$0
Tina Vest	NE	Psychiatric/Mental Health Nurse Practitioner	$6.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Silver Sun Mental Health	NE	Counselor	$0	$1.6M
Pine Lake Behavioral Health, LLC.	NE	Clinic/Center	$0	$970.8K
Complete Family Dentistry	NE	Dentist	$0	$915.8K
Charles Whitten	NE	Pain Medicine (Anesthesiology) Physician	$804.5K	$0
East Lincoln Family Health Professionals, PC	NE	Family Medicine Physician	$0	$623K
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Nebraska Heart Hospital	NE	General Acute Care Hospital	$0	$398.2K
Harpaul Bajwa	NE	Interventional Cardiology Physician	$386.4K	$0
Health At Home Consultants LLC	NE	Adult Health Nurse Practitioner	$0	$386.1K

Alivation Health, LLC — Billing Profile & Reimbursement Data

Sign up for Alivation Health, LLC — Billing Profile & Reimbursement Data policy alerts

Alivation Health, LLC — Billing Profile & Reimbursement Data

Sign up for Alivation Health, LLC — Billing Profile & Reimbursement Data policy alerts

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