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.

Good Neighbor Community Health Center (NPI 1902287261)

Field	Value
Entity Type	Organization
Organization	Good Neighbor Community Health Center
Address	2740 N Clarkson St
City	Fremont
State	NE
ZIP	68025
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 12, 2015

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Key Findings

GOOD NEIGHBOR COMMUNITY HEALTH CENTER reports $4.2M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. The provider's NPI was enumerated on 2015-06-12 (~11 years ago), indicating roughly a decade of reporting history to build this Medicaid profile.

Revenue is highly concentrated in a small set of outpatient visit codes: T1015, 99213, and 99214 together account for 84.7% of this provider's total Medicaid revenue. That concentration shows the organization derives the vast majority of its Medicaid dollars from bundled clinic/encounter and standard E/M visits rather than specialty procedures or high-margin ancillary services.

The top revenue driver is T1015 (Clinic visit/encounter, all-inclusive): 11.6K claims at $152 avg paid/claim producing $1.8M (42.0% of Medicaid revenue). T1015 ranks #12 of 44 providers in-state and is described in the source data as typical, unremarkable volume, which suggests GOOD NEIGHBOR is a solid but not dominant clinic-level provider of bundled FQHC encounters within its local peer set.

99213 and 99214 together represent substantial primary care E/M billing (99213: 7.5K claims, $157 avg, $1.2M, 28.0% of Medicaid revenue; 99214: 3K claims, $207 avg, $618.1K, 14.7% of Medicaid revenue). 99213 ranks #84 of 696 providers in-state (88th percentile) and 99214 ranks #121 of 596 providers (80th percentile); both are labeled typical, unremarkable volume, indicating above-median activity relative to peers but not a statewide outlier or monopolist.

The code mix and FQHC taxonomy align with a primary-care/community clinic model: large volumes of bundled clinic encounters (T1015 and G0467) and established-patient E/M visits (99213/99214) dominate revenue, while immunizations, A1C testing (83036), and preventive codes appear at low volumes. G0467 (FQHC visit) appears but contributes only $43.1K (1.0% of Medicaid revenue) and ranks mid-pack among a small group of peers, suggesting the center bills both standard FQHC encounter and standalone E/M codes in its Medicaid population.

Behavioral health services are a meaningful secondary line: 90837 (psychotherapy, longer session) accounts for $295.7K (7.0% of Medicaid revenue) with 1.8K claims and ranks #90 of 511 providers in-state, described as typical, unremarkable volume. Additional behavioral codes (90792 and 90834) are present at lower revenue levels, indicating integrated mental-health capacity but not a specialty behavioral-health provider profile.

Dental and preventive pediatric services are present but generate minimal revenue relative to core clinic/E/M activity (example dental codes D0150, D1206, D1120 and pediatric preventive codes 99391/99392 are each small contributors). These ancillary services reinforce a comprehensive FQHC service mix but do not materially change the provider's Medicaid revenue concentration around outpatient clinic and E/M visits.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	11,630	$150	$1.8M
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…	7,510	$160	$1.2M
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…	2,990	$210	$618.1K
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…	1,790	$170	$295.7K
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,…	1,120	$210	$230.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,000	$40	$43.1K
99203	The provider sees a new 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 provider…	70	$230	$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…	120	$100	$11.9K
D1999	N/A	1,250	$10	$11.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,060	$10	$6.4K

Showing 1–10 of 36

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

Good Neighbor Community Health Center — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	40	1,930	$230	$2.3M
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…	84	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…	121	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…	68	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…	58	70	230	$90	$222.7K
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…	500	510	450	$100	$168.1K
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…	90	510	440	$140	$155.7K
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…	36	90	70	$200	$120.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	69	70	100	$100	$100.9K
D2392	Post 2 surface resin‑based composite	144	140	270	$80	$66.8K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Thomas Hart	NE	General Practice Dentistry	$0	$252.6K

Nearby Providers

Other providers in the same ZIP code as Good Neighbor Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Fremont Health	NE	Rural Acute Care Hospital	$0	$7.9M
Pediatric Partners L.L.C.	NE	Family Nurse Practitioner	$0	$2.8M
Methodist Fremont Health	NE	Internal Medicine Physician	$0	$2.7M
Fcd Smiles, PC	NE	Pediatric Dentistry	$0	$1.7M
Muhammad Haroon	NE	Hematology & Oncology Physician	$1.4M	$0
Albert Behavioral Health LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Fremont Children's Dentistry, LLC	NE	Pediatric Dentistry	$0	$1M
Midwest Anesthesia P.C.	NE	Interventional Pain Medicine Physician	$0	$959.9K
Hand In Hand Therapy LLC	NE	Mental Health Counselor	$0	$874.7K
Me Urgent Care Nebraska, Inc	NE	Urgent Care Clinic/Center	$0	$769.7K

Good Neighbor Community Health Center — Billing Profile & Reimbursement Data

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Good Neighbor Community Health Center — 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