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    OpenPayerNPI Medicare & MedicaidAlegent Health Immanuel Medical Center
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    Alegent Health Immanuel Medical Center — Billing Profile & Reimbursement Data

    NPI 1912085184 · Omaha, NE · General Acute Care Hospital

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    Alegent Health Immanuel Medical Center is a general acute care hospital provider located in Omaha, Nebraska. This profile covers 0 Medicare and 239 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlegent Health Immanuel Medical Center
    Address6901 N 72nd St
    CityOmaha
    StateNE
    ZIP68122
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedNovember 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$23.7M
    Medicare$0

    Key Findings

    ALEGENT HEALTH IMMANUEL MEDICAL CENTER reports $23.7M in total Medicaid revenue and has none (no Medicare billing on file), making its billed activity effectively single‑payer Medicaid in the available dataset. This concentration of payer source means Medicaid reimbursement patterns drive the provider’s observable revenue and service-mix signals.

    Revenue is highly concentrated in a small set of ED evaluation-and-management codes: the precomputed top 3 Medicaid codes by revenue account for 50.9% of this provider's total Medicaid revenue. Those top three are 99283 ($4.4M, 20.9%), 99284 ($4M, 19.3%), and 99285 ($2.2M, 10.7%), showing half of Medicaid dollars flow from emergency department visits across low, moderate, and high acuity E/M categories.

    The code mix points to a hospital with a very large emergency department footprint: 99283, 99284, and 99285 together dominate Medicaid revenue and reflect a steady stream of ED visits spanning straightforward to high medical-decision-making acuity. Ancillary services tied to acute care appear alongside ED care, including IV fluid/infusion codes (96361, 96365, 96366) and imaging codes (74177, 70450), indicating the facility bills for both stabilization and diagnostic workups in the Medicaid population.

    Competitive standing on core ED codes is strong in-state for some tiers: 99283 ranks #6 of 139 providers in-state (96th percentile; notably above typical state volume for this code), while 99284 and 99285 rank #9 in their respective provider pools (93th and 90th percentiles) and are described as typical, unremarkable volume for those codes. This pattern suggests the hospital is a major destination for lower-to-moderate acuity ED visits in Nebraska, and a routine participant for higher-acuity ED billing.

    Beyond ED care, the provider shows outsized activity in rehabilitation and therapy codes: 97110 has $1.3M in revenue (6.1% of Medicaid revenue) and ranks #4 of 213 providers in-state (99th percentile; notably above typical state volume for this code), and 97113 ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume for this code). These volumes indicate a significant physical/therapeutic service line serving Medicaid patients in addition to acute/emergency services.

    Behavioral health and specialty services are also visible: H2012 (behavioral health day treatment) generates $1.2M (5.7% of Medicaid revenue) and is #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code), while 90870 (ECT) and substance/drug-testing codes (80307) appear among the top codes. The presence of H2012 and 90870 in the top-25 list signals a meaningful behavioral health component to the hospital’s Medicaid case mix, even if peer counts for those services are small.

    Several codes are labeled as notably above typical state volume beyond the ED triage line — for example, 0241U ($633.5K, ranks #2 of 39, 97th percentile; notably above typical state volume), 99282 ($840.6K, ranks #4 of 92, 97th percentile; notably above typical state volume), and 93005 (13.5K claims, $9 avg paid/claim, ranks #4 of 69, 96th percentile; notably above typical state volume for this code). These statistical descriptors point to code-level outperformance relative to in-state peers and highlight specific areas (certain diagnostics, lower-acuity ED visits, and emerging codes like 0241U) warranting further operational review.

    The provider’s NPI was enumerated 2006-11-02 (~20 years ago), indicating long-standing enrollment and an established billing history in the dataset. For payer or provider analysts, that tenure combined with concentrated Medicaid revenue and clear ED/therapy/behavioral health service-lines suggests prioritizing utilization review, network contracting, and care-management strategies around emergency care throughput, infusion/diagnostic utilization, and the robust therapy/behavioral-health programs identified in the Medicaid claims mix.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    239 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.32,990$130$4.4M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.27,720$150$4M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.14,620$150$2.2M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.8,320$170$1.4M
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…24,410$50$1.3M
    H2012Behavioral health day treatment, per hour6,960$170$1.2M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.9,040$90$840.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.3,170$270$840.6K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.3,830$170$659.3K
    0241UN/A5,980$110$633.5K

    Showing 1–10 of 239

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    239 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.9110770$110$774.3K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.440820$260$734.1K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.61401,100$110$607.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.980300$120$519.5K
    H2012Behavioral health day treatment, per hour1102,070$170$512.1K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1050820$160$461.3K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…1420610$280$372.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1340350$170$366.6K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…720270$260$342.4K
    99213The 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…626700660$70$305.1K

    Showing 1–10 of 239

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alegent Health Immanuel Medical CenterNEPsychiatric Hospital Unit$0$847.8K
    John HenryNECardiovascular Disease Physician$355.7K$0
    Mark ChouinardNECardiovascular Disease Physician$323K$0
    Edmund FiksinskiNEInterventional Cardiology Physician$293.9K$0
    David SternsNEClinical Cardiac Electrophysiology Physician$280.4K$0
    Jeffrey MahoneyNEClinical Cardiac Electrophysiology Physician$254.4K$0
    Stanislaw SojkaNECardiovascular Disease Physician$202.6K$0
    Michael PetersNECardiovascular Disease Physician$193.8K$0
    Charles OlsonNEInterventional Cardiology Physician$169.1K$0
    Guillermo HuertaNEPulmonary Disease Physician$132.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Alegent Health Immanuel Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alegent Creighton HealthNEInternal Medicine Physician$0$17.5M
    Emergency Clinicians Associates, LLCNEEmergency Medical Services (Emergency Medicine) Physician$0$6.5M
    Samer RennoNEHematology & Oncology Physician$3.2M$0
    Inaganti ShahNEHematology & Oncology Physician$2M$0
    Matthew BrummNEOphthalmology Physician$593.3K$0
    Hematology & Oncology Consultants, PCNEHematology & Oncology Physician$0$578.6K
    Abraham MathewsNEHematology & Oncology Physician$369.1K$0
    Bruce H Brumm Md PCNEOphthalmology Physician$0$362.6K
    Bruce BaronNEDiagnostic Radiology Physician$282.4K$0
    Charles SchlaepferNEDiagnostic Radiology Physician$225.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nebraska Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Alegent Health Immanuel Medical Center — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska