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.

Phelps Memorial Health Center (NPI 1891189809)

Field	Value
Entity Type	Organization
Organization	Phelps Memorial Health Center
Address	1315 Tibbals St
City	Holdrege
State	NE
ZIP	68949
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 27, 2015

Payer Source	Total Paid
Medicaid	$990.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	3,720	$150	$558.6K
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…	3,950	$110	$427K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	520	$10	$2.6K
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,…	20	$60	$1.1K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	60	$10	$770
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10	$40	$430
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	100	$1	$100

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

Phelps Memorial Health Center — 0 of 7 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

7 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…	156	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…	103	600	610	$70	$251.4K
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,…	219	250	140	$60	$29.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	19	20	60	$30	$25.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	166	270	1,170	$1	$16.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	15	30	70	$10	$2.1K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	3	10	90	$1	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Phelps Memorial Health Center	NE	Critical Access Hospital	$0	$1.8M
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Haris Zahoor	TX	Medical Oncology Physician	$1.6M	$0
Irfan Vaziri	NE	Medical Oncology Physician	$1.4M	$0
Nathan Green	NE	Hematology & Oncology Physician	$1.1M	$0
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Harpaul Bajwa	NE	Interventional Cardiology Physician	$386.4K	$0
Jeffrey Berney	NE	Family Medicine Physician	$332K	$0
Rebecca Rundlett	NE	Cardiovascular Disease Physician	$326.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holdrege Medical Clinic, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Scott Ehresman	NE	Family Medicine Physician	$284.1K	$0
Shane Smith	NE	Family Medicine Physician	$281K	$0
Charles Christie	NE	Physician Assistant	$222K	$0
Mallory Haas	NE	Physician Assistant	$221.3K	$0
Kathryn Thelen	NE	Family Medicine Physician	$196.5K	$0
Brandon Smith	NE	Physical Therapist	$154.2K	$0
Walter Mccormick	NE	Optometrist	$68.3K	$0
Brett Hytrek	NE	Optometrist	$45.2K	$0
Katie Luthy	NE	Physician Assistant	$35.9K	$0

Phelps Memorial Health Center — Billing Profile & Reimbursement Data

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Phelps Memorial Health Center — 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