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NPI 1831203488 · Hastings, NE · Rural Acute Care Hospital
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The Mary Lanning Memorial Hospital Association is a rural acute care hospital provider located in Hastings, Nebraska. This profile covers 0 Medicare and 223 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Mary Lanning Memorial Hospital Association |
| Address | 715 N Saint Joseph Ave |
| City | Hastings |
| State | NE |
| ZIP | 68901 |
| Taxonomy | Rural Acute Care Hospital |
| NPI Enumerated | August 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.9M |
| Medicare | $0 |
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION is effectively a single‑payer Medicaid billing entity in the dataset: there is no Medicare revenue on file while Medicaid revenue totals $12.9M, indicating that this provider’s reported activity in the available claims feed is concentrated in state Medicaid rather than Medicare populations. This suggests payer mix exposure is heavily skewed to Medicaid reimbursement dynamics and policy changes.
Revenue concentration is meaningful: the precomputed top three Medicaid codes account for 37.3% of the provider’s total Medicaid revenue, indicating that a relatively small set of services (notably ED E/M and IV infusion/therapy codes) drive more than one‑third of Medicaid receipts. That concentration makes overall revenue sensitive to utilization or reimbursement changes for those high‑earning codes.
The provider’s top Medicaid revenue drivers reflect a hospital with substantial emergency and infusion throughput. High volume in 99284 ($2M, 13.1K claims) and 99283 ($1.1M, 8.3K claims) combined with IV administration codes 96361 ($912K, 3K claims) and 96365 ($630.6K, 4.2K claims) point to an acute care operation with busy ED services and frequent intravenous treatment for dehydration, drugs, or fluids. Observed imaging and observation codes (74177, 70450, G0378) further support a full‑service rural acute care hospital model.
On competitive standing within Nebraska Medicaid for its top codes, the provider generally sits in the middle to upper percentiles but is not statewide dominant. Examples: 99284 ranks #20 of 112 (83rd percentile) and 99283 ranks #28 of 139 (80th percentile), indicating typical, unremarkable but above‑median volume for ED services. Infusion code 96361 ranks #9 of 37 (78th percentile) and 96365 ranks #5 of 39 (89th percentile), showing relatively stronger standing for infusion services versus many in‑state peers.
Specific service lines show pockets of strength: physical and rehabilitative therapy codes such as 97110 (12.9K claims, $835.6K; 93rd percentile) and 97530 (10.6K claims, $646.1K; 89th percentile) rank high statewide, implying a robust outpatient therapy program that contributes materially to Medicaid revenue. Likewise, 80053 (22.1K claims, $110.6K; 93rd percentile) indicates heavy lab panel volume, consistent with high outpatient/ED testing throughput.
The provider’s claims mix includes a range of diagnostic imaging and cardiology services at modest in‑state ranks (for example, 74177 $600.6K at 65th percentile, 70450 $505.2K at 71st percentile, and 93306 $191.1K at 56th percentile), suggesting it maintains on‑site CT and echocardiography capacity but is not a top regional hub for imaging. Those services contribute to breadth of acute care capability rather than outsized market dominance.
Tenure in the National Plan and Provider Enumeration System is long: the NPI was enumerated on 2006‑08‑19, approximately 20 years ago, indicating this rural acute care hospital has been an established billing entity for two decades. That longevity aligns with the broad, hospital‑level code mix and consistent Medicaid activity.
Across the top codes, percentile descriptors uniformly characterize the provider’s volumes as typical or unremarkable relative to peers rather than statistical extremes; there are no codes labeled as extreme outliers. The most elevated percentiles are in therapy and basic lab testing, which are notably above median (e.g., 97110 and 80053 at the 93rd percentile), but overall the pattern is consistent with a service‑diverse rural hospital rather than a highly specialized or dominant statewide provider.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
223 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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. | 13,120 | $150 | $2M |
| 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. | 8,260 | $140 | $1.1M |
| 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. | 3,000 | $300 | $912K |
| 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… | 12,860 | $70 | $835.6K |
| 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. | 10,590 | $60 | $646.1K |
| 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… | 9,500 | $70 | $636.5K |
| 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. | 4,200 | $150 | $630.6K |
| 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. | 1,730 | $350 | $600.6K |
| 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. | 1,870 | $270 | $505.2K |
| 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. | 4,000 | $110 | $456.3K |
Showing 1–10 of 223
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
223 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 15 | 20 | 460 | $1,260 | $1.8M |
| 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. | 20 | 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. | 9 | 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. | 28 | 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. | 25 | 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. | 18 | 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… | 13 | 40 | 2,880 | $40 | $386.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 17 | 40 | 350 | $170 | $366.6K |
| 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… | 316 | 700 | 660 | $70 | $305.1K |
| G0378 | Hospital observation service, per hour | 13 | 30 | 950 | $120 | $276.4K |
Showing 1–10 of 223
Other providers in the same ZIP code as The Mary Lanning Memorial Hospital Association, ranked by combined Medicare and Medicaid revenue.
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