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.

Innovative Community Health Institute LLC (NPI 1851859334)

Innovative Community Health Institute LLC is a family medicine physician provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 33 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	Innovative Community Health Institute LLC
Address	4911 N 26th St
City	Lincoln
State	NE
ZIP	68521
Taxonomy	Family Medicine Physician
NPI Enumerated	March 4, 2019

Payer Source	Total Paid
Medicaid	$503.6K
Medicare	$0

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,950	$80	$232.9K
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…	3,340	$60	$183.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	620	$40	$27.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	90	$100	$9.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	90	$100	$8.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	330	$30	$8.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,450	$1	$5.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	360	$20	$5.4K
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…	50	$100	$4.3K
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…	40	$100	$3.9K

Showing 1–10 of 33

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

Innovative Community Health Institute LLC — 0 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	174	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…	122	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…	59	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…	53	70	230	$90	$222.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	39	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.	120	130	1,410	$10	$69.2K
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…	38	40	530	$20	$53.8K
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…	111	150	1,610	$10	$47K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	51	110	70	$100	$43.2K
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,…	206	250	140	$60	$29.7K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Lincoln, Nebraska	NE	Land Ambulance	$2.2M	$8.2M
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$6.8M
Nebraska Urban Indian Health Coalition, Inc.	NE	Primary Care Clinic/Center	$0	$2M
Above And Beyond Aba Ne, LLC	NE	Behavior Analyst	$0	$714.5K
North Lincoln Family Medical Center PC	NE	Family Medicine Physician	$0	$663.1K
Husker Rehabilitation And Wellness Centers, P.C.	NE	Physical Therapist	$0	$446.7K
Huy Pham	NE	Optometrist	$2.6K	$393.8K
Fallbrook Family Health Center	NE	Family Medicine Physician	$0	$273.8K
Intentions Psychotherapy PC	NE	Mental Health Counselor	$0	$273.5K
Bradlee N Novotny, D.c., P.C.	NE	Physical Medicine & Rehabilitation Physician	$0	$247.3K

Innovative Community Health Institute LLC — Billing Profile & Reimbursement Data

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Innovative Community Health Institute LLC — 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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