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.

Align Care (NPI 1730466228)

Field	Value
Entity Type	Organization
Organization	Align Care
Address	4102 Woolworth Ave
City	Omaha
State	NE
ZIP	68105
Taxonomy	Dentist
NPI Enumerated	November 10, 2011

Payer Source	Total Paid
Medicaid	$617.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	10,190	$20	$193.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,160	$30	$71.4K
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…	1,410	$40	$50.8K
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…	6,110	$10	$48.9K
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…	880	$50	$44.2K
D0120	Periodic oral evaluation - established patient	1,990	$20	$43.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	950	$40	$35.3K
D1208	Topical application of fluoride - excluding varnish	1,280	$20	$23K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	860	$20	$17.1K
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…	230	$60	$12.7K

Showing 1–10 of 25

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

Align Care — 1 of 24 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	257	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…	145	510	450	$100	$168.1K
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…	26	90	70	$200	$120.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	4	50	300	$20	$63.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	8	20	650	$20	$62.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	121	320	460	$20	$62.2K
D0120	Periodic oral evaluation - established patient	78	400	430	$20	$44.3K
90832	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…	36	130	140	$60	$36.4K
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…	27	30	80	$110	$33.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	31	310	220	$40	$28.1K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Align Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Patach	NE	Psychiatric/Mental Health Nurse Practitioner	$150.4K	$0
Petrisor Tudor	NE	Psychiatric/Mental Health Nurse Practitioner	$95.7K	$0
Dean List	NE	Psychiatric/Mental Health Nurse Practitioner	$51.7K	$0
Nicolette Lovitt	IA	Family Nurse Practitioner	$43.9K	$0
Virginia Smith	NE	Psychiatric/Mental Health Nurse Practitioner	$26.7K	$0
Samantha Zabka	NE	Clinical Social Worker	$2.7K	$0

Nearby Providers

Other providers in the same ZIP code as Align Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chidren's Dentistry Of South Omaha, LLC	NE	Pediatric Dentistry	$0	$8.6M
Heartland Family Service	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Capstone Behavioral Health, Inc.	NE	Mental Health Counselor	$0	$5M
Baart Community Healthcare	NE	Substance Use Disorder Rehabilitation Clinic/Center	$89.9K	$4.1M
Keegan Harkins	NE	Ophthalmology Physician	$3.5M	$0
Rai Care Centers Of Nebraska Ii, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Douglas County Nebraska	NE	Psychiatric Hospital	$0	$2.4M
Psychological Healing Insights,pc	NE	Mental Health Counselor	$0	$947.2K
Sakrx, LLC	NE	Durable Medical Equipment & Medical Supplies	$15.4K	$689.1K
Buoyant Family Services Counseling And Consulting LLC	NE	Community/Behavioral Health Agency	$0	$580.6K

Align Care — Billing Profile & Reimbursement Data

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Align Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References