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.

Box Butte General Hospital (NPI 1811929060)

Box Butte General Hospital is a critical access hospital provider located in Alliance, Nebraska. This profile covers 0 Medicare and 73 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Box Butte General Hospital
Address	2101 Box Butte Ave
City	Alliance
State	NE
ZIP	69301
Taxonomy	Critical Access Hospital
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	3,660	$140	$526.9K
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.	3,660	$130	$460.5K
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…	5,970	$80	$448.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	2,830	$140	$390.7K
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.	1,730	$190	$320.4K
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.	820	$120	$97.8K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	810	$100	$82.4K
G0378	Hospital observation service, per hour	130	$640	$82.3K
99281	The provider sees a patient for the lowest level emergency department visit.	940	$90	$80.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	630	$130	$79.4K

Showing 1–10 of 73

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

Box Butte General Hospital — 1 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

73 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.	42	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.	19	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.	39	140	1,100	$110	$607.4K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	6	10	630	$220	$557.2K
G0378	Hospital observation service, per hour	20	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.	52	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.	18	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.	85	130	650	$40	$179.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29	30	1,720	$10	$158.7K
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.	12	90	600	$90	$156.8K

Showing 1–10 of 73

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Box Butte General Hospital	NE	Rural Health Clinic/Center	$0	$900.6K
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Edward Stevenson	CO	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$343.5K	$0
Shanon Smith	NE	Diagnostic Radiology Physician	$275.5K	$0
Jed Hollingsworth	NE	Diagnostic Radiology Physician	$257.2K	$8.1K
Imanual Somers-dehaney	PA	Diagnostic Radiology Physician	$237.3K	$0
John Blomstedt	NE	Dermatology Physician	$221.2K	$0
Ryan Martin	NE	Pulmonary Disease Physician	$192.3K	$0
Douglas Fiedler	NE	Pulmonary Disease Physician	$190.5K	$0
William Johnson	NE	Pulmonary Disease Physician	$170.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Children's & Allied Health, Inc.	NE	Pediatric Nurse Practitioner	$0	$884.3K
Christine Karell	NE	Psychiatric/Mental Health Nurse Practitioner	$36.1K	$601.4K
Alliance Family Dental, LLC	NE	Dentist	$0	$558.7K
Creston M. Myers, Od, PC	NE	Optometrist	$0	$460.4K
William Fattig	NE	Internal Medicine Physician	$138.3K	$84.9K
Silver Lining Counseling LLC	NE	Addiction (Substance Use Disorder) Counselor	$0	$192.8K
Alliance Community Pharmacy	NE	Community/Retail Pharmacy	$45.8K	$0
Todd Eitemiller	NE	Chiropractor	$21.6K	$0
Bette Odell	NE	Mental Health Counselor	$12.7K	$0

Box Butte General Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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