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.

Good Neighbor Community Health Center (NPI 1740491786)

Key Findings

Field	Value
Entity Type	Organization
Organization	Good Neighbor Community Health Center
Address	4321 41st Ave
City	Columbus
State	NE
ZIP	68601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid totaling $4.7M. The absence of Medicare billing limits comparability on national Medicare measures and indicates the organization’s billing footprint is concentrated in Medicaid programs.

Revenue is highly concentrated in a small number of outpatient visit codes: the top 3 Medicaid codes account for 78.8% of total Medicaid revenue, led by 99213 ($2M, 42.5%), T1015 ($1.2M, 25.4%), and 99214 ($507.1K, 10.9%). This concentration shows the center’s financial base is driven predominantly by routine primary care and bundled clinic visit reimbursements.

The code mix indicates an FQHC primary‑care operating model with significant established‑patient volume: high counts and revenue for 99213 (10.4K claims, $2M) and 99214 (2.7K claims, $507.1K), plus T1015 (5K claims, $1.2M) reflecting bundled clinic visit payments typical for Federally Qualified Health Centers. Preventive and vaccination services (eg, 99392, 99391, 90716, 90688) and basic lab panels (80050, 80061) appear as complementary services, consistent with a full‑service community health center.

Behavioral health is a meaningful, though smaller, service line: 90837 shows 1.8K claims and $170.1K in revenue (3.7% of Medicaid revenue), and the FQHC mental‑health bundle G0470 appears at 494 claims and $13.8K (0.3%). These entries indicate onsite psychotherapy and billed mental health encounters are part of the care mix rather than ancillary one‑off services.

Competitive standing by code is mixed across in‑state peers: 99213 ranks #64 of 696 (91th percentile), indicating relatively strong statewide volume for that core primary‑care E/M code, while T1015 ranks #18 of 44 (60th percentile) and 99214 ranks #131 of 596 (78th percentile), both characterized in the source as typical or unremarkable volumes despite being above median in some cases. Vaccination and testing activity includes one clear outlier: 90688 ranks #2 of 51 (98th percentile) and is labeled notably above typical state volume, suggesting this site performs flu vaccination at a higher rate than most peers.

FQHC‑specific encounter codes are present but represent a small share of revenue: G0467 generated $71.7K (1.5% of Medicaid revenue) and G0470 $13.8K (0.3%), implying that while the provider uses FQHC encounter billing, the bulk of payments are flowing through office E/M and clinic bundle codes rather than per‑diem FQHC bundles. This may reflect payer mix or billing practices that favor E/M and clinic visit codes for revenue capture.

Operational footprint appears to serve a stable returning patient population: large claim counts for established‑patient E/M codes (99213 10.4K claims; 99212 2K claims; 99214 2.7K claims) and routine procedures such as blood draws 36415 (2.8K claims) point to ongoing primary care management and continuity of care rather than episodic, acute‑only visits. These volumes are consistent with a community health center model focused on longitudinal care.

The organization has a long tenure in national provider registries, with NPI enumeration on 2007-05-24 (~19 years ago), which supports interpretation of these billing patterns as established operational behavior rather than a new entrant signal. That tenure, combined with concentrated Medicaid revenue, positions the center as a longstanding Medicaid‑focused FQHC in its market area.

Medicaid: Complete Services Breakdown

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

53 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…	10,360	$190	$2M
T1015	Clinic visit/encounter, all-inclusive	4,990	$240	$1.2M
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…	2,710	$190	$507.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,010	$210	$414.1K
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…	1,790	$100	$170.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	2,050	$40	$71.7K
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…	230	$260	$59.9K
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…	680	$80	$52.9K
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	280	$150	$40.6K
99391	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…	310	$70	$22.8K

Showing 1–10 of 53

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

Good Neighbor Community Health Center — 2 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	18	40	1,930	$230	$2.3M
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…	64	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…	131	600	610	$70	$251.4K
99391	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…	36	70	360	$80	$234.7K
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…	23	70	230	$90	$222.7K
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…	91	510	440	$140	$155.7K
0241U	N/A	34	40	210	$110	$109.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	18	20	50	$140	$102.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	41	70	100	$100	$100.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	105	130	1,410	$10	$69.2K

Showing 1–10 of 53

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Columbus Community Hospital Inc	NE	General Acute Care Hospital	$0	$8.9M
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Cch Pediatric Clinic PC	NE	Pediatrics Physician	$0	$3.1M
Columbus Urgent Care LLC	NE	Urgent Care Clinic/Center	$0	$1.4M
Columbus Physical Therapy, P.C.	NE	Physical Therapist	$0	$785K
Peter Diedrichsen	NE	Ophthalmology Physician	$749.8K	$0
Columbus Family Practice Associates, P.C.	NE	Family Medicine Physician	$0	$716.2K
Luke Lemke	NE	Family Medicine Physician	$711.1K	$0
Columbus Community Hospital Inc	NE	Emergency Medicine Physician	$0	$676.2K

Good Neighbor Community Health Center — Billing Profile & Reimbursement Data

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Good Neighbor Community Health Center — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.2M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Thomas Hart	NE	General Practice Dentistry	$0	$252.6K