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.

Community Hospital Association (NPI 1841204500)

Community Hospital Association is a critical access hospital provider located in Mccook, Nebraska. This profile covers 0 Medicare and 62 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	Community Hospital Association
Address	1301 E H St
City	Mccook
State	NE
ZIP	69001
Taxonomy	Critical Access Hospital
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

62 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.	2,770	$200	$553.2K
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.	2,000	$210	$417.6K
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…	4,210	$60	$269.4K
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.	3,840	$50	$203.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	4,430	$30	$146.3K
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.	970	$140	$135.1K
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.	70	$1,420	$103.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	3,380	$20	$77.8K
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…	880	$80	$69.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	5,860	$10	$58.6K

Showing 1–10 of 62

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

Community Hospital Association — 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

62 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.	41	110	770	$110	$774.3K
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.	44	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.	65	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.	39	50	820	$160	$461.3K
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…	633	700	660	$70	$305.1K
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.	43	50	830	$90	$269K
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.	124	130	650	$40	$179.6K
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.	35	90	600	$90	$156.8K
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…	415	510	440	$140	$155.7K
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…	43	210	660	$40	$122.6K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ghiath Al Kassar	IL	Pediatrics Physician	$0	$6.4M
Lorinda Reece	NE	Family Medicine Physician	$211.5K	$0
Todd Hlavaty	NE	Radiation Oncology Physician	$209.3K	$0
Jason Blomstedt	NE	Family Medicine Physician	$190.6K	$0
James Sullivan	NE	Family Medicine Physician	$186.3K	$0
Kristin Fulkerson	NE	Family Medicine Physician	$168.8K	$0
Evan Correll	NE	Orthopaedic Surgery Physician	$147.1K	$0
Matthew Nielsen	NE	Family Medicine Physician	$145.7K	$0
Hope Ferguson	NE	Family Medicine Physician	$113.8K	$0
Jeffrey Cloud	WY	Gastroenterology Physician	$86.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mccook Family Medicine, PC	NE	Family Medicine Physician	$0	$1.2M
Ambience Counseling Center, LLC	NE	Community/Behavioral Health Agency	$0	$1.1M
Quality Urgent Care	NE	Urgent Care Clinic/Center	$0	$922.6K
My Family Vision Clinic LLC	NE	Optometrist	$0	$351.6K
Michaelis Chiropractic PC	NE	Chiropractor	$0	$314.9K
Region Ii Human Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$254K
City Of Mccook	NE	Land Ambulance	$169.6K	$3.6K
Robert Hinze	NE	Podiatrist	$131.9K	$0
Brian Michaelis	NE	Chiropractor	$78.6K	$0
John West	NE	Family Medicine Physician	$77.7K	$0

Community Hospital Association — Billing Profile & Reimbursement Data

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Community Hospital Association — 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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