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.

Heartland Family Service (NPI 1891788048)

Field	Value
Entity Type	Organization
Organization	Heartland Family Service
Address	2101 S 42nd St
City	Omaha
State	NE
ZIP	68105
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 23, 2005

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Key Findings

HEARTLAND FAMILY SERVICE is effectively a Medicaid-focused provider: it has $5.3M in recorded Medicaid revenue and no Medicare billing on file, so Medicaid represents the sole documented payer in this dataset and should be treated as the primary commercial lens for competitor and utilization comparisons. Analysts should therefore prioritize Medicaid program codes and state-level benchmarks when assessing this entity.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 95.5% of the provider’s total Medicaid revenue. The revenue mix is dominated by 99490 ($4.5M, 84.2%), followed by 99214 ($451.1K, 8.4%) and H0037 ($151K, 2.8%), indicating a narrow set of services driving nearly all recorded payments.

The code mix points to an operational emphasis on chronic care management and care coordination rather than traditional Medicare outpatient volume. The dominance of 99490 (first 20 minutes of provider-directed clinical staff time per month) alongside high-volume care-management-related entries such as G0506 (8K claims, $0 avg paid/claim) and G9008 (18.7K claims, $0 avg paid/claim) suggests the organization runs structured care-management programs as a primary service line.

HEARTLAND is a statewide leader in chronic care management as measured by 99490: it ranks #1 of 13 providers in-state (100th percentile) and is described as "notably above typical state volume" for that code. This ranking positions the clinic as a dominant local provider for care-management services rather than a marginal participant.

Office evaluation-and-management and psychotherapy services are present but materially smaller contributors to revenue. 99214 accounts for $451.1K (8.4%) and ranks #70 of 596 in-state (88th percentile), indicating above-average but not outsized E/M volume; psychotherapy 90834 produced $105.2K (2.0%) and sits at the 65th percentile, reflecting routine behavioral-health visit activity complementary to the care-management focus.

Telehealth transmission activity is substantial relative to peers: T1014 shows 2K claims and $8K revenue and ranks #2 of 10 in-state (89th percentile) with the label "notably above typical state volume," implying significant use of telehealth infrastructure for service delivery. By contrast, originating site fees such as Q3014 are minimal, indicating the organization bills more for transmission/telehealth professional services than for facility-originating fees.

Several programmatic or care-coordination codes appear in high claim counts but with $0 average paid/claim (for example, G9008: 18.7K claims $0; G0506: 8K claims $0; H0038: 2.8K claims $0). These $0-paid entries indicate recorded activity or submitted billing for coordination and peer/self-help services that do not translate to recorded Medicaid revenue in the dataset, so analysts should distinguish billed activity from paid revenue when modeling service capacity or financial performance.

The provider has an established presence in the market, with its NPI enumerated 2005-08-23 (~21 years ago). Combined with the concentrated Medicaid revenue in care management codes, this longevity supports the interpretation that HEARTLAND FAMILY SERVICE operates as a long-standing community mental health clinic focused on Medicaid-funded chronic care and coordination programs rather than on Medicare fee-for-service volumes.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	32,380	$140	$4.5M
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…	5,370	$80	$451.1K
H0037	Community psychiatric supportive treatment program, per diem	370	$410	$151K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	950	$110	$105.2K
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…	1,310	$50	$70.6K
H2011	Crisis intervention service, per 15 minutes	180	$100	$17.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	70	$200	$14.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	140	$80	$11.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	430	$30	$10.7K
T1014	Telehealth transmission, per minute, professional services bill separately	2,000	$1	$8K

Showing 1–10 of 21

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

Heartland Family Service — 1 of 13 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	10	210	$80	$358.8K
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…	279	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…	70	600	610	$70	$251.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	180	510	450	$100	$168.1K
H0037	Community psychiatric supportive treatment program, per diem	1	10	370	$410	$151K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	44	90	70	$200	$120.4K
H0038	Self‑help/peer services, per 15 minutes	5	20	1,050	$40	$72.9K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	5	10	510	$100	$39.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	58	110	140	$100	$38.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	20	50	260	$30	$30.5K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heartland Family Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Family Service	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Heartland Family Service	NE	Addiction (Substance Use Disorder) Counselor	$0	$2.6M
Heartland Family Service	IA	Multi-Specialty Clinic/Center	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as Heartland Family Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chidren's Dentistry Of South Omaha, LLC	NE	Pediatric Dentistry	$0	$8.6M
Capstone Behavioral Health, Inc.	NE	Mental Health Counselor	$0	$5M
Baart Community Healthcare	NE	Substance Use Disorder Rehabilitation Clinic/Center	$89.9K	$4.1M
Keegan Harkins	NE	Ophthalmology Physician	$3.5M	$0
Rai Care Centers Of Nebraska Ii, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Douglas County Nebraska	NE	Psychiatric Hospital	$0	$2.4M
Psychological Healing Insights,pc	NE	Mental Health Counselor	$0	$947.2K
Sakrx, LLC	NE	Durable Medical Equipment & Medical Supplies	$15.4K	$689.1K
Align Care	NE	Dentist	$0	$617.8K
Buoyant Family Services Counseling And Consulting LLC	NE	Community/Behavioral Health Agency	$0	$580.6K

Heartland Family Service — Billing Profile & Reimbursement Data

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Heartland Family Service — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References