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.

Memorial Community Health, Inc (NPI 1881603850)

Field	Value
Entity Type	Organization
Organization	Memorial Community Health, Inc
Address	609 O St
City	Aurora
State	NE
ZIP	68818
Taxonomy	Family Medicine Physician
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicaid	$257.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	4,110	$50	$201.2K
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…	700	$70	$51.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	20	$110	$1.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	20	$80	$1.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	60	$20	$1K
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.	40	$20	$600
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,…	10	$40	$560
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.	20	$20	$330
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	10	$10	$170

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

Memorial Community Health, Inc — 0 of 9 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

9 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…	148	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…	282	600	610	$70	$251.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	89	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,…	240	250	140	$60	$29.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	61	70	110	$80	$29.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	128	210	110	$10	$19.5K
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.	114	130	200	$20	$13.3K
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.	114	140	180	$20	$12.6K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	71	70	150	$20	$12.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Community Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Community Health, Inc	NE	Critical Access Hospital	$0	$597.4K
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
Jeffrey Jarrett	NE	Pulmonary Disease Physician	$168.4K	$0
Radu Neamu	NE	Pulmonary Disease Physician	$167.5K	$0
Kevin Reichmuth	NE	Pulmonary Disease Physician	$167.1K	$0
Matthew Maslonka	NE	Pulmonary Disease Physician	$160.6K	$0
Jonathan Spencer	NE	Pulmonary Disease Physician	$154.5K	$0
Louis Violi	NE	Pulmonary Disease Physician	$150.6K	$0

Nearby Providers

Other providers in the same ZIP code as Memorial Community Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Aurora	NE	Land Ambulance	$165.2K	$37.2K
Philip Esslinger	NE	Physical Therapist	$92.1K	$0
Mark Jobman	NE	Family Medicine Physician	$67.5K	$0
Kristen Anderson	NE	Physician Assistant	$29.9K	$0

Memorial Community Health, Inc — Billing Profile & Reimbursement Data

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Memorial Community Health, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References