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.

Columbus Community Hospital Inc (NPI 1760589295)

Key Findings

Field	Value
Entity Type	Organization
Organization	Columbus Community Hospital Inc
Address	4600 38th St
City	Columbus
State	NE
ZIP	68601
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 19, 2006

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

COLUMBUS COMMUNITY HOSPITAL INC reports no Medicare billing on file and $8.9M in lifetime Medicaid revenue, making its public payer footprint effectively single‑payer Medicaid in the available claims data. This absence of Medicare billing implies analyses of traditional Medicare fee‑for‑service volume, national benchmarking, and Medicare-driven business lines will not apply for this entity.

Revenue is concentrated in a small set of Medicaid codes: the top three codes (92507, 97530, 99283) together account for 60.0% of the provider’s total Medicaid revenue. That concentration indicates a narrow set of service lines are the primary revenue drivers for the Medicaid population rather than a broad, even mix of inpatient and outpatient procedures.

The largest individual Medicaid revenue driver is 92507 ($2.4M, 27.4% of Medicaid revenue), a communication/hearing assessment code, which suggests a substantial speech‑language pathology or audiology service volume embedded in the hospital’s outpatient or rehabilitation operations. 92507 ranks #5 of 43 in-state (90th percentile) and is described as typical, unremarkable volume for this code, indicating high absolute volume for the market but not an exceptional outlier.

97530 is the second-largest Medicaid contributor ($1.5M, 17.4% of Medicaid revenue) and represents therapeutic activities often associated with occupational or physical therapy services. This code ranks #9 of 130 in-state (94th percentile) and is labeled typical, unremarkable volume — together with other PT/OT codes (97110, 97112, 97116, 97140, 97161) the mix points to a substantial outpatient rehabilitation footprint.

Emergency department evaluation and management codes are also material: 99283 accounts for $1.3M (15.2% of Medicaid revenue) and ranks #29 of 139 in-state (80th percentile), while 99282 and 99284 contribute additional Medicaid revenue. The presence of multiple ED E/M codes among the top revenue items signals that the hospital’s emergency department is a meaningful contributor to Medicaid revenue.

Several CPTs show competitive standing nuances: 97110 is notably above typical state volume (95th percentile) and 99281 ranks #1 of 21 in-state (100th percentile) and is described as notably above typical state volume, indicating certain therapy and low‑level ED visit volumes are unusually high relative to peers. By contrast, many high-dollar codes such as 92507 and 97530 are characterized as typical, unremarkable volume despite their large revenue shares, so the provider’s pattern mixes high absolute revenue with mostly market‑typical utilization patterns.

Procedure mix includes recurring use of IV infusion and ED administration codes (96361, 96365, 96374, 96375) and imaging/lab codes (74177, 70450, 87502, 87633, 87635), reflecting a general acute care hospital operation that couples emergency care with on‑site imaging, lab diagnostics, and infusion services. These ancillary service codes are smaller revenue contributors individually but support the interpretation of an ED‑centric, therapy‑heavy outpatient model.

The provider’s NPI was enumerated 2006-09-19 (~20 years ago), indicating long tenure in the market; combined with the concentration of Medicaid revenue and the state percentiles, this suggests an established regional hospital with persistent emphasis on rehabilitation/therapy services and emergency care within the Medicaid population.

Medicaid: Complete Services Breakdown

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

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,340	$120	$2.4M
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.	20,700	$70	$1.5M
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.	7,530	$180	$1.3M
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…	15,770	$70	$1.2M
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.	2,900	$160	$454.5K
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.	2,290	$160	$371.5K
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.	780	$350	$271.4K
99281	The provider sees a patient for the lowest level emergency department visit.	1,650	$110	$183K
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.	420	$310	$132K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	2,720	$50	$122.3K

Showing 1–10 of 97

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

Columbus Community Hospital Inc — 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

97 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	37	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.	20	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.	29	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.	61	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.	29	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…	5	40	2,880	$40	$386.7K
G0378	Hospital observation service, per hour	22	30	950	$120	$276.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	35	50	830	$90	$269K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	19	40	220	$120	$191.5K
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.	9	130	650	$40	$179.6K

Showing 1–10 of 97

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Community Hospital Inc	NE	Emergency Medicine Physician	$0	$676.2K
Edward Discoe	NE	Family Medicine Physician	$519.4K	$0
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Columbus Community Hospital Inc	NE	Psychiatry Physician	$0	$398.6K
Steven Martin	NE	Interventional Cardiology Physician	$325.4K	$0
Ryan Martin	NE	Pulmonary Disease Physician	$192.3K	$0
Douglas Fiedler	NE	Pulmonary Disease Physician	$190.5K	$0
Sabu George	FL	Specialist	$185.5K	$0
William Johnson	NE	Pulmonary Disease Physician	$170.8K	$0
Jeffrey Jarrett	NE	Pulmonary Disease Physician	$168.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
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
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
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 — 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