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.

Oneworld Community Health Centers, Inc. (NPI 1952330649)

Field	Value
Entity Type	Organization
Organization	Oneworld Community Health Centers, Inc.
Address	4920 S 30th St
City	Omaha
State	NE
ZIP	68107
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$45.1M
Medicare	$0

Key Findings

ONEWORLD COMMUNITY HEALTH CENTERS, INC. is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $45.1M in lifetime Medicaid revenue. The absence of Medicare revenue combined with large Medicaid volumes indicates operations are heavily dependent on state Medicaid reimbursements rather than traditional Medicare contracts.

Revenue is highly concentrated in a small set of ambulatory encounter codes: the top three Medicaid revenue drivers (99213, T1015, 99214) account for 81.6% of the provider's Medicaid revenue. Specifically, 99213 accounts for $16.9M (39.3%), T1015 for $11.3M (26.4%), and 99214 for $6.8M (15.9%), demonstrating that routine evaluation-and-management and all‑inclusive clinic encounter billing dominate the revenue base.

The code mix and volumes point to a high‑volume primary care and preventive services model consistent with an FQHC taxonomy: 99213 (104.8K claims, $161 avg paid/claim), 99214 (44.7K claims, $152 avg paid/claim), and a large number of pediatric and preventive visit codes (99392, 99393, 99391, 99394) together show a substantial focus on longitudinal family and pediatric care. Additionally, high counts of vaccine codes (90686: 26.8K claims) and routine lab/screening codes (e.g., 83655, 36415) support a comprehensive primary‑care clinic workflow that includes immunizations and screening.

Competitive standing within Nebraska is strong and in several cases dominant: T1015 ranks #1 of 44 providers in‑state (100th percentile, extreme outlier) and 99213 ranks #4 of 696 (100th percentile, extreme outlier), while 99214 is #10 of 596 (98th percentile, extreme outlier). These rankings indicate ONEWORLD is a major statewide provider for ambulatory clinic encounters and is far above typical state volumes for these high‑value primary care codes.

Beyond core E/M services, the provider shows notable service breadth: mental health services H0046 (6.2K claims, $363.3K revenue) rank #1 of 25 in‑state (100th percentile), COVID testing 87426 ranks #1 of 94 (100th percentile), and oral preventive codes like D1206 and D1120 appear with substantial claim counts. This mix suggests integrated behavioral health, public health outreach (vaccination and testing), and dental preventive services are part of the care portfolio.

Operationally, the scale of T1015 (clinic visit/encounter, all‑inclusive) revenue — $11.3M and the state #1 rank — is consistent with an FQHC model billing bundled clinic encounters at high volume. That pattern implies their reimbursement profile relies heavily on clinic‑level, all‑inclusive encounters in addition to traditional E/M billing, which should be a focus in contract and rate negotiations.

The organization shows both extremely high visit volumes and a concentrated revenue risk: with 81.6% of Medicaid revenue coming from three codes, any policy, coding, or reimbursement change affecting E/M rates or all‑inclusive clinic payments could materially affect total revenue. Payer or network analysts should prioritize monitoring these specific codes in contracting, utilization management, and risk adjustments.

ONEWORLD has an established presence in the market with an NPI enumerated date of 2006-07-03 (~20 years ago), indicating long tenure in the community. That longevity, combined with the provider's high statewide ranks on multiple codes, supports its profile as an entrenched FQHC primary‑care operator in Nebraska.

Medicaid: Complete Services Breakdown

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

133 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…	104,760	$160	$16.9M
T1015	Clinic visit/encounter, all-inclusive	83,840	$140	$11.3M
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…	44,730	$150	$6.8M
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,…	8,300	$170	$1.4M
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…	13,140	$70	$945.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,620	$110	$922K
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…	14,670	$60	$894.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,140	$110	$682K
H0046	Mental health services, not otherwise specified	6,160	$60	$363.3K
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…	26,760	$10	$347.9K

Showing 1–10 of 133

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

Oneworld Community Health Centers, Inc. — 19 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	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…	4	700	660	$70	$305.1K
D2930	N/A	18	50	540	$120	$269K
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…	10	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…	3	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…	2	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…	384	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…	363	510	440	$140	$155.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8	30	290	$70	$143.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	4	20	110	$130	$117K

Showing 1–10 of 133

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$3.9M
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$3.4M
Samer Renno	NE	Hematology & Oncology Physician	$3.2M	$0
Inaganti Shah	NE	Hematology & Oncology Physician	$2M	$0
Oneworld Community Health Centers, Inc.	NE	Community Health Clinic/Center	$0	$1.7M
Timothy Dorius	NE	Internal Medicine Physician	$1M	$0
Logan Helge	NE	Family Nurse Practitioner	$996.6K	$0
Nagendra Natarajan	NE	Hematology & Oncology Physician	$934.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ponca Tribe Of Nebraska	NE	Clinic/Center	$0	$8.9M
Stephen Center, Inc.	NE	Substance Abuse Rehabilitation Facility	$0	$2.8M
Summit Dental Health - E Street LLC	NE	General Practice Dentistry	$0	$2M
Dva Renal Healthcare Inc	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$911.2K
Lannie Weak	NE	General Practice Dentistry	$0	$837.2K
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$537.4K
Fernando E Correa, M.d., A Professional Corporation	NE	Family Medicine Physician	$0	$350K
Missouri Valley Dental Group, LLC	NE	Dentist	$0	$275.2K
Joshua Medical Centers LLC	NE	Family Medicine Physician	$0	$262.3K

Oneworld Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Oneworld Community Health Centers, Inc. — 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